先天性心脏病英文稿2009版ppt课件.pptVIP

Congenital Heart Disease,(CHD) 先天性心脏病; Outline 教学大纲——目的要求：;Scientific medicine begins;Ferdinand Sauerbruch (1875-1951) ;;Cardiac Catheterization;;(1898-1986) was an American cardiologist, founded the field of pediatric cardiology. she helped develop the Blalock-Taussig shunt in cooperation with Dr. Alfred Blalock and Vivien Thomas, to treat blue baby syndrome ;Early Open Heart Surgery With Heart-Lung Machine;First successful surgical repair of the heart on September 2, 1952 by under hypothermia performed surgeries using cross-circulation, in which to take up the pumping and oxygenation functions of the patient as he was being operated on March 26, 1954 ;;Jacqueline Noonan (1921-) Genetics of Noonan syndrome;Noonan Syndrome;New Advances (in moderm times);Catalogs;Definition;The Cardiovascular formation Embryo development of the heart;Cardiac development ;胚胎第3周;;大动脉发育;Cardiac development;原发房隔;The separation of the atrioventricular canal →endocardial cushions → tricuspid/ mitral inlets ;Fetal and postnatal circulations 胎儿血循环与出生后改变 ;Gases and nutritional requirements exchange occurs in the placenta Pulmonary blood flow is very low Foramen ovale and ductus arteriosus are opened The blood saturation is higher in up limbs and head;Close of the circulation in infant after birth;;;Normal blood circulation;To compare circulation between prior and after birth;;Etiology;Incidence of Congenital Heart Disease;Relative Frequency of CHD;1. Left to right shunt （potential cyanotic type） －左向右分流型（潜伏紫绀型）  VSD、ASD、PDA 2. Right to left shunt （cyanotic type） －右向左分流型（紫绀型） TOF D-TGA 3. Without shunt （Acyanotic type） －无分流型（无紫绀型） PS、AS;;TOF;The manifestation of the two type of shunt;Cyanosis;Clubbing fingers (toes);;;Knee-chest Position ;Anoxic spells;Diagnostic approaches ;Physical Examination auscultation using stethoscopes;Physical Examination;Physical Examination ;Physical Examination;Types of Murmurs;Types of Murmurs;Types of Murmurs;