(精选)获得性心脏病教学课件.pptVIP

Cardiac tumors Myxoma - Frequently in LA, pedicle to atrial Septum Mitral stenosis, distant embolism Other benign tumors - Fibroma, rhabdomyoma, lipoma Malignant tumors Angiosarcoma, MFH, lymphoma, fibrosar. Metastasis (22-61%) Cardiac tumor: angiosarcoma Pericardial effusion Bacterial, viral, tuberculous, post-op, post-MI, malignancy, rheumatic fever, myxedema, uremia, connective tissue disease Generalized cardiomegaly with silent lung, sharp cardiophrenic angle Pericardial effusion Constrictive pericarditis Sequela of tuberculous pericarditis Fibrosis and calcifications along atrio-ventricular groove due to organization of pericardial effusion SVC, azygos dilatation - right LA enlarged c/s PV hypertension CT findings: thickening, calcification Constrictive pericarditis Constrictive pericarditis * ???? ?? 4?? valve? ????. ?? tricuspid valve? pulmonary valve? ?? ?? ??? ??? ????, ??? ?? mitral valve? aortic valve? ??? ??? ??? ?????. Valve? ??? ?? ???? ??? ?? ? ????? Valve? ??? ??? stenosis? valve? ??? ??? ?? ??? regurgitation ?? insufficiency? ?? ? ???. Mitral valve? aortic valve??? ??? stenosis? regurgitation…… ?? 4?? ??? ????? ??? ?? ?????. * ?? mitral stenosis. ??? ???? rheumatic fever?. ??? ????? ?? left atrial myxoma? ??? ? ? ? ????. Rheumatic fever? ?? endocarditis?? valve commissure? fusion, chordae? fibrosis, thickening, contraction? ????? ??? ?? ??? ???? ???. Mitral stenosis? ??? ??? LA pressure? ???? ???? pulmonary venous hypertension? ? ???? RA?? ??? ??? ??. ????? 25mmHg???? ?? interstitial edema? ??? ?? alveolar edema? ???? ???. mitral stenosis????? ?? LA myxoma? ?? ???? ???. * heart? ??? ?????, chest PA??? cardiothoracic ratio? ?? ???? ??? ? ?? ? ? ????. ????? CT ratio? ????? 50%??… ? ?? ??. ???? ???? ?? ???? ????, ?? cardiac border? double contour? ???, LA auricle appendage? ???, left main bronchus? ???, ??? ?? ???? displace???. Pulmonary venous hypertension? ??? ?? ? ????. * - Double contour - Lt main bronchus elevation