室间隔缺损

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最后审阅： 19 四月 2022
最后更新： 24 九月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 左胸骨旁收缩期杂音
  • 生长迟缓
  • 呼吸短促
更多 关键诊断因素

其他诊断因素

  • 反复肺部感染
  • 第二心音肺动脉瓣成分响亮
  • 紫绀
  • 杵状指
  • 近期心肌梗死（通常在 2～5 天内
  • 近期外伤
其他诊断因素

危险因素

  • 先天性心脏病家族史
  • 唐氏综合征（21 三体
  • 妊娠期间饮酒
更多 危险因素
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诊断性检查

首要检查

  • 超声心动图
  • 胸部 X 线检查
  • 心电图（ECG
更多 首要检查

需考虑的检查

  • 心脏磁共振成像
  • 心导管检查
更多 需考虑的检查

新兴检查

  • 心脏 CT 扫描
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治疗流程

急症处理

先天性：小型

先天性：中型或大型

获得性

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撰稿人

作者

Kul Aggarwal, MD, MRCP, FACC
Kul Aggarwal

Professor of Clinical Medicine

University of Missouri

Columbia

MO

利益声明

KA declares that he has no competing interests.

鸣谢

Dr Kul Aggarwal would like to gratefully acknowledge Professor Zuhdi Lababidi, a previous contributor to this topic.

利益声明

ZL declares that he has no competing interests.

同行评议者

Michael Cheung, BSc (Hons), MB ChB, MRCP, FRACP

Acting Head

Department of Cardiology

Royal Children's Hospital

Melbourne

Australia

利益声明

MC declares that he has no competing interests.

Sachin Khambadkone, MD, DCH, DNB

Consultant Paediatric Cardiologist and Honorary Senior Lecturer

Great Ormond Street Hospital and Institute of Child Health

London

UK

利益声明

SK declares that he has no competing interests.

Tain-Yen Hsia, MD

Attending Pediatric Cardiothoracic Surgeon

Medical University of South Carolina Children's Hospital

Charleston

SC

利益声明

TYH declares that he has no competing interests.

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