第一章心血管的胚胎发育及血液循环课件.pptx

1、 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE先天性心脏病先天性心脏病 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE胎儿期的血液循环胎儿期的血液循环胎儿时期的物质胎儿时期的物质和气体是通过胎和气体是通过胎盘与母体交换盘与母体交换 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SC

2、HOOL OF MEDICINE胎儿期血液循环的特点胎儿期血液循环的特点 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE出生后血液循环的变化出生后血液循环的变化 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE病病 因因 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF

3、 MEDICINE预预 防防 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE儿童心血管病检查方法儿童心血管病检查方法 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE体格检查体格检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILD

4、RENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE C

5、HILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE常用的特殊检查常用的特殊检查 T

6、HE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEAbbreviationsAbbreviations THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEAbbreviationsAbbreviations THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE先天性心脏病的分类先天性心脏病的分类 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SC

7、HOOL OF MEDICINE左向右分流型先天性心脏病的左向右分流型先天性心脏病的共同特点共同特点 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE房间隔缺损房间隔缺损 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE房间隔缺损解剖示意图房间隔缺损解剖示意图 THE CHILDRENS HOSPITAL ZHEJIANG U

8、NIVERSITY SCHOOL OF MEDICINEASDASD肺动脉瓣相对性狭窄肺动脉瓣相对性狭窄 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE临床表现临床表现 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEX X线检查线检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE心电图心电图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVER

9、SITY SCHOOL OF MEDICINE超声心动图超声心动图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE心导管检查心导管检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE治疗治疗 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE介入封堵术

10、介入封堵术 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE适应症适应症 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE室间隔缺损室间隔缺损 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIAN

11、G UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE室间隔缺损解剖示意图室间隔缺损解剖示意图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 先天性心脏病室间隔缺损先天性心脏病室间隔缺损(VSD)VSD)血液动力学血液动力学主动脉主动脉 （AOAO）左心室（左心室（LVLV）右心室（右心室（RVRV）肺动脉肺动脉 （PAPA）肥厚肥厚 左心房左心房(LA)LA)肺静脉肺静脉 （PVPV）

12、动力性肺动脉高压动力性肺动脉高压 肺血增多、肺小动脉痉挛肺血增多、肺小动脉痉挛 右心室压力右心室压力 梗阻性肺动脉高压梗阻性肺动脉高压 肺小动脉内膜和中层增厚肺小动脉内膜和中层增厚 右心室向左心室分流右心室向左心室分流 青紫青紫-艾森曼格艾森曼格 (Eisenmenger)Eisenmenger)综合征综合征VSDVSD THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE临床表现临床表现 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE体征体征 TH

13、E CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE并发症并发症 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE2022-10-2247可编辑 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE自愈（自然闭合）自愈（自然闭合）THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEX X线检查线检查 THE CHILD

14、RENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE心电图心电图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE超声心动图超声心动图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SC

15、HOOL OF MEDICINE 心导管及造影心导管及造影 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE治治 疗疗 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE介入封堵术介入封堵术 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE动脉导管未闭动脉

16、导管未闭 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE动脉导管未闭解剖示意图动脉导管未闭解剖示意图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 先天性心脏病动脉导管未闭先天性心脏病动脉导管未闭(

17、PDA)PDA)血液动力学血液动力学 主动脉主动脉 （AOAO）肺动脉肺动脉 （PAPA）肺静脉肺静脉 （PVPV）左心室（左心室（LVLV）左心房左心房(LA)LA)肺血增多、肺小动脉痉挛肺血增多、肺小动脉痉挛 动力性肺动脉高压动力性肺动脉高压 肺小动脉内膜和中层增厚肺小动脉内膜和中层增厚 梗阻性肺动脉高压梗阻性肺动脉高压 右心室压力右心室压力 右心室右心室（RVRV）肥厚肥厚 肺动脉压力等于或超过主动脉压力肺动脉压力等于或超过主动脉压力 肺动脉向主动脉分流肺动脉向主动脉分流 下肢青紫下肢青紫 （差异性青紫）（差异性青紫）-艾森曼格艾森曼格 (Eisenmenger)Eisenmenger)

18、综合征综合征PDAPDA THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 临床表现临床表现 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 临床表现临床表现 THE CHILDRENS HOSPITA

19、L ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE并发症并发症 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEX X线检查线检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDIC

20、INE心电图心电图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE超声心动图超声心动图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE心导管及造影检查心导管及造影检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE治疗治疗 THE CHILDREN

21、S HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEEisenmenger syndromeEisenmenger syndrome艾森曼格综合征艾森曼格综合征 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDR

22、ENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE法洛氏四联症解剖示意图法洛氏四联症解剖示意图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 先天性心脏病法洛四联症先天性心脏病法洛四联症(TOF)TOF)病理生理改变病理生理改变 肺动脉狭窄（右室流出道狭窄）肺动脉狭窄（右室流出道狭窄）痉挛痉挛 缺氧发作缺氧发作 右心室压力右心室压力 右心室压力

23、等于或超过左心室右心室压力等于或超过左心室 肺血流量肺血流量 支气管动脉与肺动支气管动脉与肺动脉形成侧支循环脉形成侧支循环 右心室肥厚右心室肥厚 主动脉骑跨主动脉骑跨 右心室向左心室分流右心室向左心室分流 肺循环进行气体交换的血流肺循环进行气体交换的血流 主动脉同时接受左右主动脉同时接受左右心室的血液心室的血液 青紫（动脉血氧饱和度青紫（动脉血氧饱和度）红细胞增多红细胞增多 杵状指（趾）杵状指（趾）蹲踞蹲踞 脑血栓脑血栓 脑脓肿脑脓肿室间隔缺损室间隔缺损 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 临床表现临床表现

24、 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 临床表现临床表现 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE并发症并发症 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINEX X线表现线表现 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJ

25、IANG UNIVERSITY SCHOOL OF MEDICINE心电图心电图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE超声心动图超声心动图 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE 心导管及造影检查心导管及造影检查 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE治疗治疗 THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY

26、 SCHOOL OF MEDICINE THE CHILDRENS HOSPITAL ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE谢谢谢谢p 经常不断地学习,你就什么都知道。你知道得越多,你就越有力量p Study Constantly,And You Will Know Everything.The More You Know,The More Powerful You Will Be学习总结结束语当你尽了自己的最大努力时，失败也是伟大的，所以不要放弃，坚持就是正确的。When You Do Your Best,Failure Is Great,So DonT Give Up,Stick To The End演讲人：XXXXXX 时 间：XX年XX月XX日