二尖瓣及主动脉瓣疾病的诊断与治疗 浙江大学医学院附属第一医院 张芙荣
二尖瓣及主动脉瓣疾病的诊断与治疗 浙江大学医学院附属第一医院 张芙荣
Valvular heart disease MITRAL STENOSIS AORTIC STENOSIS MITRAL REGURGITATION -Acute and chronic AORTIC REGURGITATION -Acute and Chronic TRICUSPID REGURGITATION TRICUSPID STENOSIS PULMONARY STENOSIS PULMONARY REGURGITATION MIXED LESIONS
Valvular heart disease • MITRAL STENOSIS • AORTIC STENOSIS • MITRAL REGURGITATION -Acute and Chronic • AORTIC REGURGITATION -Acute and Chronic • TRICUSPID REGURGITATION • TRICUSPID STENOSIS • PULMONARY STENOSIS • PULMONARY REGURGITATION • MIXED LESIONS
Superior Vena Cava Aorta Pulmonary Arte ry Pulmonary Ve in Left Right trium Atrium Mitral Vale Pulmonary Left Aortic Valve Ventricle Valve TricuspI Ventricl Valve Inferior Vena Cava
病因和流行病学 病因:风湿性疾病,退行性疾病,感染性疾病,炎症性疾 病,新型瓣膜病(如AIDS,药源性以及遗传性) 流行病学: Table 3 Etiology of single native left- sided valve disease Aortic stenosis n=1197 Aortic regurgitation n=369 Mitral stenosis n=336 Mitral regurgitation n=877 Degenerative(%) 81.9 12.5 613 Rheumatic(%) 11. 2 15.2 854 14.2 Endocarditis(%) 0.8 7.5 0.6 3.5 Inflammatory(%) 0.1 0.8 〔 ongenital154 15.2 0.6 4.8 Ischaemic (%) Other(%) 77 09 8.1 Bernard lunga*, A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. European Heart Journal(2003)24, 1231-1243
病因和流行病学 • 病因：风湿性疾病，退行性疾病，感染性疾病，炎症性疾 病，新型瓣膜病（如AIDS，药源性以及遗传性） • 流行病学： Bernard Iunga*, A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. European Heart Journal (2003) 24, 1231–1243
总论 病人评估: 诊断 严重程度评估 预后评估 干预指征
总 论 病人评估： 诊断 ↓ 严重程度评估 ↓ 预后评估 ↓ 干预指征