chds(儿童先天性心脏病各论).pptxVIP

Ventricular Septal Defect（VSD）;Ventricular Septal Defect ;Position of VSD： －Membranous(60-70%): the commonest locationt －Subpulmonic(3-6%): risk of aortic valve prolapse －Muscular(20-30%) : occur anywhere in the muscular part of septum ;Size of VSD;Before Pulmonary hypertension;Small VSD －asymptomatic －Pan-systolic murmur of grade Ⅱ~Ⅳ heard at left sternal border in the 3rd~4th intercostal spaces, radiating over precordium ( 3~4 LSB SM Ⅱ~Ⅳo);Medium～Large VSD (symptoms) Pulmonary plethora---Recurrent chest infection Systemic blood flow ? --Failure to thrive (slow weight gain ） Poor