小结
定义
病史和体格检查
关键诊断因素
- 收缩期喷射性杂音
- 第二心音固定分裂
其他诊断因素
- 存在的危险因素
- 舒张中期杂音
- 充血性心力衰竭
- 生长障碍
- 房性心律失常的症状
- 紫绀
- 杵状指
危险因素
- 女性
- 孕妇饮酒
- 阳性家族史
诊断性检查
首要检查
- 超声心动图
- 心电图 (ECG)
- 胸部 X 线检查
需考虑的检查
- 胸部 CT/MRI 检查
- 心导管检查
治疗流程
左向右分流
右向左分流
撰稿人
作者
Sachin Khambadkone, MD, DCH, DNB
Consultant in Paediatric and Adolescent Cardiology
Interventional Cardiologist
Honorary Senior Lecturer
Paediatric and Adolescent Cardiology
Great Ormond Street Hospital and Institute of Child Health
London
UK
利益声明
SK declares that he has no competing interests.
鸣谢
Dr Sachin Khambadkone would like to gratefully acknowledge Dr Brandon Lane Phillips, Dr Frank Cetta, and Dr David J. Driscoll, previous contributors of this monograph. BLP, FC, and DJD declare that they have no competing interests.
同行评议者
Alexander Opotowsky, MD, MPH
Senior Fellow
Adult Congenital Heart Disease and Pulmonary Hypertension
Department of Cardiology
Children's Hospital Boston
Department of Medicine
Division of Cardiology
Brigham and Women's Hospital
Boston
MA
利益声明
AO declares that he has no competing interests.
Gianluca Rigatelli, MD, FACP, FACC, FESC, FSCAI
Director
Section of Transcatheter Treatment of Congenital Heart Disease in the Adult
Rovigo General Hospital
Rovigo
Italy
利益声明
GR declares that he has no competing interests.
鉴别诊断
- 部分型肺静脉异位引流
- 室间隔缺损
- 动脉导管未闭
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- 2015 ESC 感染性心内膜炎管理指南
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