(精选)先心病 (43p)教学课件.pptVIP

* * * * * * * * * * * * Total Pulmonary venous return 2% Pulmonary vein return to the right atrium or the superior vena cava instead of the left atrium * Treatment Give PGE, cath, and surgical treatment Truncus Arteriosus 1% One major artery or (trunk) arises from the LF RT ventricle in place of a separate Aorta Pulmonary Artery with VSD. Assessment … Cyanosis Treatment … surgical at school age Hypo plastic left Heart Syndrome *assessment of HLHS Infants may appear healthy at birth, but signs of HLHS soon become apparent after the ductus arteriosus closes. These signs include the following: Cyanosis (a blue skin, lips, fingernails and other areas of the body as a result of the lack of oxygen-rich blood to the body) 1.Heart murmur 2.Enlargement of the heart (as seen in an echocardiogram) 3.Noticeably troubled breathing 4.Apparent weakness 5.Inability to feed normally 6.Cold extremities Defect with Decreased pulmonary blood flow Tricuspid Artesia 2. Tetrology of Fallot Tricuspid Artesia Tricuspid valve closed no blood from RA to RV *if foramen ovale and PDA still open will maintain good O2 blood so you have to give PGE IV. If not sever cyanosis ,tachycardia , dyspnea * Treatment Surgically Tetrology of Fallot 10% 1.pulmonary stenosis 2.VSD *usually large* 3.dextra position (overriding of the Aorta ) 4.hypertrophy of the right ventricle. * * * * * * * * * * * * * * * * * * * Congenital Heart Disease Emad Al Khatib, RN,MSN,CNS 1. Classification of Congenital Heart Disease. 2. A cyanotic Heart Disease a. Increase pulmonary blood flow b. Obstruction of blood flow 3. Cyanotic Heart disease a. Decrease pulmonary blood flow b. Mixed blood flow . A Cyanotic Heart DefectMove blood from arterial …to…venous system  A Cyanotic Increased in pulmonary blood flow 1. ASD 2. VSD 3. AVC 4. PDA Obstruction of blood flow form ventricle Pulmonary stenosis Aortic stenosis 3.Coarctation of the Aorta