先天性心脏病的影像诊断

1、泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院TH

2、E AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIAT

3、ED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 镜面右位心左旋心右旋心泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIA

4、TED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPIT

5、AL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZH

6、OU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL

7、 COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE VSD右向左分流左向右分流泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDI

8、CAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEG

9、E 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 心外左向右分流（主肺动脉心外左向右分流（主肺动脉间分流）动脉导管未闭间分流）动脉导管未闭PDA右向左分流左向右分流泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 心外左向右分流（主肺动脉间心外左向右分流（主肺动脉间分流）动脉导管未闭分流）动脉导管未闭泸医附院泸医附院THE AFFILIATED

10、HOSPITAL OF LUZHOU MEDICAL COLLEGE 动脉导管未闭动脉导管未闭泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 动脉导管未闭动脉导管未闭泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 病理解剖：病理解剖：肺静脉不回左心房，左右肺静脉在心后汇成一肺静脉不回左心房，左右肺静脉在心后汇成一总干经左垂直静脉（永存左上腔静脉）、左无总干经左垂直静脉（永存左上腔静脉）、左无名静脉、右上腔静脉回到右心房或者汇成之总名静脉、右上腔静脉回到右心房或

11、者汇成之总干直接经右上腔静脉回右房。干直接经右上腔静脉回右房。左心房经继发孔型房间隔缺损得血。左心房经继发孔型房间隔缺损得血。泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 左无名静脉左无名静脉上上腔腔静静脉脉（扩张）（扩张）（容积负荷大、扩大）（容积负荷大、扩大）右心房右心房右心室右心室（扩大）（扩大）肺动脉多血肺动脉多血肺静脉肺静脉左心房左心房（小）（小）左心室左心室（小）（小）主动脉主动脉下腔静脉下腔静脉垂直静脉垂直静脉泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL C

12、OLLEGE 平片：肺循环：肺多血，并可有肺郁血。（肺动脉平片：肺循环：肺多血，并可有肺郁血。（肺动脉高压）高压） 心脏：心脏：“8 8”字形或半字形或半“8 8”字形心，中度增大，右心字形心，中度增大，右心房、右心室增大。房、右心室增大。 大血管：主动脉被明显扩张之左、右上腔静脉遮掩。大血管：主动脉被明显扩张之左、右上腔静脉遮掩。侧位胸骨后间隙消失。侧位胸骨后间隙消失。造影：肺动脉或肺静脉造影均可见肺静脉不回左心造影：肺动脉或肺静脉造影均可见肺静脉不回左心房，而经左垂直静脉，无名静脉，上腔静脉回右心房，而经左垂直静脉，无名静脉，上腔静脉回右心房。房。 右心房造影：可见继发孔房缺大小、部位、心

13、房水右心房造影：可见继发孔房缺大小、部位、心房水平右向左分流。平右向左分流。泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITA

14、L OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 单纯肺动脉办狭窄单纯肺动脉办狭窄泸医附院泸医附院THE AFFILIATED H

15、OSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF

16、 LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU ME

17、DICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE ASD右向左分流泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDI

18、CAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 病理解剖：病理解剖：三尖瓣口肌性闭锁，使右房、室间三尖瓣口肌性闭锁，使右房、室间 不能直接相通。不能直接相通。继发孔型房间隔缺损。继发孔型房间隔缺损。膜部室间隔缺损。膜部室间隔缺损。右心室发育不良，常伴流出道狭窄。右心室发育不良，常伴流出道狭窄。三尖办闭锁三尖办闭锁泸医附院泸医附院THE AFFILIATED HOSPITAL OF LUZHOU MEDICAL COLLEGE 三尖瓣三尖瓣闭锁闭锁右心室右心室（小）（小）肺肺循循环环少少血血左心房左心房左心室左心室（大）（大）主主动动脉脉腔静脉腔静脉右心房右心房血液动力学：血液动力学：右向左分流右向左分流左向右