肺动脉瓣狭窄

最后审阅: 22 二月 2023
最后更新: 06 十一月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 病理性收缩期喷射样杂音,伴或不伴收缩期喀喇音
更多 关键诊断因素

其他诊断因素

  • 风湿热
  • 呼吸困难
  • 疲劳
  • 胸痛
  • 晕厥
  • 努南 (Noonan) 综合征的畸形特征
  • LEOPARD 综合征的畸形特征
  • 威廉姆斯(Williams')综合征的核型异常表现
  • 阿拉吉耶 (Alagille) 综合征的畸形特征
  • 生长迟缓
  • 发绀
  • 右心衰的体征
  • 右心室搏动
  • 收缩期震颤
其他诊断因素

危险因素

  • 黑人
  • Noonan综合征
  • 豹皮综合征
  • 阿拉吉耶 (Alagille) 综合征
  • 威廉姆斯综合征
  • 先天性风疹综合征
  • 类癌综合征
  • 感染性心内膜炎
  • 心脏肿瘤
  • 外源性压迫
更多 危险因素

诊断性检查

首要检查

  • 心电图
  • 胸部 X 线检查
  • 超声心动图与多普勒评估
  • 血红蛋白和血细胞比容
  • 脉搏血氧测量测定法
  • 动脉血气
更多 首要检查

需考虑的检查

  • 诊断性心导管检查
更多 需考虑的检查

治疗流程

急症处理

轻度疾病

中度疾病

重度至极重度疾病

撰稿人

作者

Edgar Tay, MBBS, MRCP (UK), MMed (Int Med), FAMS, FACC, FESC

Senior Consultant

Assistant Professor

Programme Director, Congenital/Structural Heart Disease Programme

Department of Cardiology

Department of Medicine

National University Heart Centre Singapore

Singapore

利益声明

ET declares that he has no competing interests.

Kian Keong Poh, MBBChir (Camb), MMed, FRCP, FCCP, FAMS, FACC, FASE

Senior Consultant

Clinical Director of Research

Director of Postgraduate Education

Department of Cardiology

National University Heart Centre Singapore

Associate Professor

Department of Medicine

Yong Loo Lin School of Medicine

National University of Singapore

Singapore

利益声明

KKP declares that he has no competing interests.

Ivandito Kuntjoro, MD, ABIM (Int.Med-USA)

Consultant

Department of Cardiology

National University Heart Centre Singapore

Singapore

利益声明

IK declares that he has no competing interests.

James Yip, MBBS, MRCP (UK), FAMS

Senior Consultant

Department of Cardiology

National University Heart Centre Singapore

Associate Professor

Department of Medicine

Group Chief Medical Informatics Officer

National University of Singapore

Singapore

利益声明

JY declares that he has no competing interests.

Low Ting Ting, MBBS (Singapore) MRCP (UK)

Consultant

Department of Cardiology

Programme Co-Director

Women's Heart Health Programme

National University Heart Centre Singapore

Singapore

利益声明

LTT declares that she has no competing interests.

鸣谢

Dr Ivandito Kuntjoro, Edgar Tay, James Yip, Kian Keong Pho, and Low Ting Ting would like to gratefully acknowledge Dr Peter S. Fischbach, Dr Cyrus Samai, and Dr David M. Drossner, the previous authors of this monograph.

同行评议者

John Charpie, MD, PhD

Associate Professor of Pediatrics

Medical Director

Pediatric Cardiothoracic Intensive Care Unit

University of Michigan Congenital Heart Center

Ann Arbor

MI

利益声明

JC declares that he has no competing interests.

James Gnanapragasam, MBBS, MSc, FRCP, FRCPCH

Consultant in Paediatric Cardiology

Southampton University Hospitals NHS Trust

Southampton

UK

利益声明

JG declares that he has no competing interests.

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