肺动脉反流

最后审阅: 3 九月 2022
最后更新: 05 二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
更多 关键诊断因素

其他诊断因素

  • 呼吸困难
  • 运动耐量下降
  • 舒张期杂音
  • 端坐呼吸
  • 阵发性夜间呼吸困难
  • 心悸
  • 疲劳
  • 发汗
  • 心尖搏动最强点移位
  • 收缩期杂音
  • 右心衰竭体征
其他诊断因素

危险因素

  • 肺动脉高压
  • 法洛四联症、肺动脉瓣狭窄及闭锁的外科矫治
  • 心内膜炎
  • 左心系统疾病
  • 曾接受 Ross 手术(人工肺瓣膜/同种肺动脉瓣置换术
  • 胶原血管病
  • 恶性肿瘤累及主肺动脉
更多 危险因素

诊断性检查

首要检查

  • 心电图 (ECG)
  • 经胸多普勒超声心动图
  • 胸部 X 线检查 (CXR)
更多 首要检查

需考虑的检查

  • 经食管多普勒超声心动图
  • 胸部 MRI
  • 胸部 CT 扫描
  • 心脏磁共振成像
更多 需考虑的检查

治疗流程

急症处理

急性肺动脉瓣反流

持续性治疗

慢性肺动脉瓣反流

撰稿人

作者

Sachin S. Goel, MD
Sachin S. Goel

Interventional Cardiology

Prairie Heart Institute at St John's Hospital

Springfield

IL

利益声明

SSG declares that he has no competing interests.

Chetan P. Huded, MD, MSc

Interventional Cardiology Fellow

Department of Cardiovascular Medicine

Cleveland Clinic

Cleveland

OH

利益声明

CPH declares that he has no competing interests.

Samir Kapadia, MD
Samir Kapadia

Director of Cardiac Cath Lab

Professor of Medicine

Department of Cardiovascular Medicine

Cleveland Clinic

Cleveland

OH

利益声明

SK declares that he has no competing interests.

鸣谢

Dr Sachin S. Goel, Dr Chetan P. Huded, and Dr Samir Kapadia would like to gratefully acknowledge Dr Mehdi H. Shishehbor, the previous contributor to this topic. MHS declares that he has no competing interests.

同行评议者

Satish Adwani, MD

Consultant in Paediatric Cardiology and Adults with Congenital Heart Disease

John Radcliffe Hospital

Oxford

UK

利益声明

SA declares that he has no competing interests.

Sarabjeet Singh, MD

Cardiology Fellow

Adult Cardiovascular Fellowship

Department of Cardiology

Chicago Medical School (CMS) and affiliated hospitals

Chicago

IL

利益声明

SS declares that he has no competing interests.

Debabrata Mukherjee, MD

Gill Foundation Professor of Interventional Cardiology

Director of Cardiac Catheterization Laboratories

Gill Heart Institute

Division of Cardiovascular Medicine

University of Kentucky

Lexington

KY

利益声明

DM declares that he has no competing interests.

Syed Wamique Yusuf, MD, MRCPI, FACC

Associate Professor

University of Texas MD Anderson Cancer Center

Department of Cardiology

Houston

TX

利益声明

SWY declares that he has no competing interests.

  • 肺动脉反流 images
  • 鉴别诊断

    • 二尖瓣狭窄
    • 主动脉瓣反流
    • 心房黏液瘤
    更多 鉴别诊断
  • 指南

    • 2018 年关于成人先天性心脏病治疗的 AHA/ACC 指南
    • 2017 年 AHA/ACC 关于 2014 年 AHA/ACC 瓣膜性心脏病患者管理指南的重点更新
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