《儿科学》课程教学资源（授课教案）08 Congenital Heart Disease

重庆医科大学儿科学教案心血管系统疾病一先天性心脏病教师：易岂建授课题目TEACHINGTOPICCongenital heart disease: ASD、VSD、PDA、TOF第几次课TIMES5th 教学方法METHODSClass teaching教学对象OBJECTIVESeven years students in Grade 2007, 2006 ,2005, 2004, 2003, 2002,2001学时TIME120minStudy the the etiology and classification of CHD, Know well the教学目的PURPOSEpathophysiologyandhaemodynamics,aswellascomplicationsandtherapeutic principle of.ASD、VSD、PDA、TOF.教学重点和难点EMPHASISEMPHASIS : pathophysiology and haemodynamics, clinicaland DIFFICULTIESfeature,accessory examination and therapeutic principle inCHDDIFFICULTIEs : pathophysiology and haemodynamics,1) Emphasis the social importance;深化与拓宽2)Emphasis the importance of therapeutic opportunity to avoidThe developmentsobstructivepulmonaryarteryhypertention3) Attention to surgery and interventional in CHD:Emphasis on the prevention, including pregnant.英语要求CHD:congenital heart diseaseEnglish requirementsPDA:patent ductus arteryASD:atrial septal defectVSD:ventricular septal defectTOF:tetralogy of fallot

重庆医科大学儿科学教案 心血管系统疾病－先天性心脏病 教师：易岂建 授课题目TEACHING TOPIC Congenital heart disease: ASD、VSD、PDA、TOF 第几次课 TIMES 5th 教学方法 METHODS Class teaching 教学对象 OBJECTIVE Seven years students in Grade 2007, 2006，2005, 2004, 2003, 2002, 2001 学时 TIME 120min 教学目的 PURPOSE Study the the etiology and classification of CHD, Know well the pathophysiology and haemodynamics, as well as complications and therapeutic principle of .ASD、VSD、PDA、TOF. 教学重点和难点 EMPHASIS and DIFFICULTIES EMPHASIS ： pathophysiology and haemodynamics, clinical feature,accessory examination and therapeutic principle in CHD DIFFICULTIES：pathophysiology and haemodynamics, 深化与拓宽 The developments 1) Emphasis the social importance; 2) Emphasis the importance of therapeutic opportunity to avoid obstructive pulmonary artery hypertention; 3) Attention to surgery and interventional in CHD; Emphasis on the prevention, including pregnant. 英语要求 English requirements CHD:congenital heart disease PDA:patent ductus artery ASD:atrial septal defect VSD:ventricular septal defect TOF:tetralogy of fallot

Eisenmenger"s syndrome教材及参考资料1. Yang Xiqiang Chief Editor ,《PEDIATRICS》 6th Edition ,People'sTEXT BOOK USEDHealth Publication , 2003REFERENCES2.胡亚美,江载芳．诸福棠实用儿科学.第7版.北京：人民卫生出版社,20023. Behrman RE, Kliegman RM and Jenson HB. Nelsortextbook of pediatrics.16th ed. Science Press, HarcourtAsia, W.B. Saunders, 2001教具TEACHINGAIDSPPT教学程序 Procedures详细见讲稿主要内容及安排（教学内容详细安排、教学方Details see the contents and arrangement法的运用及时间分配)：讲稿主要内容及安排The contents and ArrangementstimemeansminCongenital heart diseases(CHD)PPT151. cardiac embryonic developmentReviewanatomyofcardiovascularsystem

Eisenmenger’s syndrome 教材及参考资料 TEXT BOOK USED REFERENCES 1. Yang Xiqiang Chief Editor，《PEDIATRICS》6th Edition，People’s Health Publication，2003 2. 胡亚美,江载芳. 诸福棠实用儿科学.第 7 版.北京:人民卫生出 版社,2002 3. Behrman RE, Kliegman RM and Jenson HB. Nelson textbook of pediatrics.16th ed. Science Press, Harcourt Asia, W.B. Saunders, 2001 教具 TEACHING AIDS PPT 教学程序 Procedures （教学内容详细安排、教学方 法的运用及时间分配）： 详细见讲稿主要内容及安排 Details see the contents and arrangement 讲稿主要内容及安排 The contents and Arrangements means time min Congenital heart diseases(CHD) PPT 15 1. cardiac embryonic development Review anatomy of cardiovascular system 2

understand12. CHD morbidity and possible etiology3. embryo circulation and change after birthDiagram showchangeof(1) oval foramen closing and mrchanismflow(2) PDA closing and mechanismbloodbefore and3afterovalforamen andPDA[Classification]Givean1 left to right shuntexample32 right to left shunt3 no shunt1[diagnosis procedure and methods]3[diagnosis new technique and clinical value]Electrocardiogram,X-ray,echocardiagram,catheterizationan了解And angiocardiography2 Common complications and therapeutic principle25Atrial Septal Defect (ASD)[overview]understand11. [morbidity and rate of natural close]

2. CHD morbidity and possible etiology understand 1 3. embryo circulation and change after birth Diagram show change of blood flow before and after oval foramen and PDA 3 (1) oval foramen closing and mrchanism (2) PDA closing and mechanism [Classification] 1 left to right shunt 2 right to left shunt 3 no shunt Give an example 3 [diagnosis procedure and methods] 1 [diagnosis new technique and clinical value] 3 Electrocardiogram,X-ray,echocardiagram,catheterizationan And angiocardiography 了解 Common complications and therapeutic principle 2 Atrial Septal Defect （ASD） 25 [overview] 1. [morbidity and rate of natural close] understand 1

2[pathological anatomy]typesdiagram[pathophyology and hemodynamic]graspRA flow volume increased, RV enlargement andhemodynamicdiagramhypertrophy4、 Pulmonary circulation congestion三、 Systemic circulation blood supply insufficient4[Clinical Manifestationsgrasp一、 symptom二、 sign 2~3/6 systonic murmur in 2~3 rib left along breastboneP2 strengthen,S2 fixed spliting8[auxiliary examination]Eletrocardoagram(ECG)picturesX-ray echocardiagramCatheterizationan And angiocardiography2[diagnosis][complatations] :grasp2[2[treatment]

[pathological anatomy] 2 types diagram [pathophyology and hemodynamic] grasp hemodynamic diagram 4 一 、 RA flow volume increased, RV enlargement and hypertrophy 二、Pulmonary circulation congestion 三、Systemic circulation blood supply insufficient [Clinical Manifestations grasp 4 一、symptom 二、sign 2~3／6 systonic murmur in 2~3 rib left along breastbone P2 strengthen，S2 fixed spliting [auxiliary examination] 8 Eletrocardoagram(ECG) pictures X-ray echocardiagram Catheterizationan And angiocardiography [diagnosis] 2 [complatations]： grasp 2 [treatment] 2

understandPrinciple of interventional andsurgery28ventrical Septal Defect (VSD )1. [morbidity and rate of natural close]understand2[pathological anatomy]pictures5grasp[pathophysiologyand hemodynamic]一、 LA,LV enlargement and hypertrophy二、Pulmonary circulation flow increased三、Systemic circulation flowinsufficiencygrasp5[Clinical Manifestations]Symptoms:一、二、 sign 8[auxiliary examination]picturesEletrocardoagram(ECG)X-rayechocardiagramCatheterizationan And angiocardiography3grasp[complications] :know4[treatment] :Principle of surgery and intervention25Patent ductus arteriosus(PDA)morbidity and rate of natural close

Principle of interventional andsurgery understand ventrical Septal Defect（VSD） 28 1. [morbidity and rate of natural close] understand 1 [pathological anatomy] pictures 2 [pathophysiology and hemodynamic] grasp 5 一、LA,LV enlargement and hypertrophy 二、Pulmonary circulation flow increased 三、Systemic circulation flow insufficiency [Clinical Manifestations] grasp 5 一、Symptoms: 二、sign [auxiliary examination] 8 Eletrocardoagram(ECG) pictures X-ray echocardiagram Catheterizationan And angiocardiography [complications]： grasp 3 [treatment]： Principle of surgery and intervention know 4 Patent ductus arteriosus(PDA) 25 morbidity and rate of natural close 1

2[pathological anatomy]picturesApictures[pathophysiology and hemodynamic]一、LA,LV hypervolemia, enlargement, hypertrophy二、 PAengorgement三、Systemiccirculation blood-supplyinsufficient四、 Peripheral artery diastolicfallinggrasp4[Clinical Manifestations ]一、Symptoms三、 signunderstand18[auxiliary examination]Eletrocardoagram(ECG)pictureX-ray echocardiagramCatheterizationan And angiocardiography2grasp[complications] understand12[treatment]Principle of surgery and intervention24Tetralogy of Fallot (TOF)1[morbidity]2[pathological anatomy]5[pathophyologyand hemodynamic]主要取决于肺动脉狭窄的程度

[pathological anatomy] pictures 2 [pathophysiology and hemodynamic] pictures 4 一、LA ,LV hypervolemia, enlargement，hypertrophy 二、PA engorgement 三、Systemic circulation blood-supply insufficient 四、Peripheral artery diastolic falling [Clinical Manifestations ] grasp 4 一、Symptoms 二、sign [auxiliary examination] understand 8 Eletrocardoagram(ECG) picture X-ray echocardiagram Catheterizationan And angiocardiography [complications]： grasp 2 [treatment] understand 2 Principle of surgery and intervention Tetralogy of Fallot (TOF) 24 [morbidity] 1 [pathological anatomy] 2 [pathophyology and hemodynamic ] 5 主要取决于肺动脉狭窄的程度

一、RVhypertrophy,RAenlargement二、 Pulmonary circulatory blood flow decrease三、 Systemic circulatory mixed blood5[Clinical Manifestations]grasp一、Symptoms二、 signpictures6[auxiliary examination]Eletrocardoagram(ECG)X-raypicturesechocardiagramCatheterizationan And angiocardiographyGrasp3[complications]2[treatment]Principle of surgery3[结课]Pay attention to ASD,VSD,PDA,TOF pathophysiology andhemodynamic, clinical manifestations,and complitations.复习题：1简要叙述出生前后的血液循环改变

一、RV hypertrophy，RA enlargement 二、Pulmonary circulatory blood flow decrease 三、Systemic circulatory mixed blood [Clinical Manifestations] 一、Symptoms 二、sign [auxiliary examination] Eletrocardoagram(ECG) X-ray echocardiagram Catheterizationan And angiocardiography [complications]] [treatment] Principle of surgery [结课] Pay attention to ASD,VSD,PDA,TOF pathophysiology and hemodynamic, clinical manifestations,and complitations. 复习题： 1 简要叙述出生前后的血液循环改变

2动脉导管未闭的主要临床表现有哪些？3为什么小儿房间隔缺损容易漏诊？4室间隔缺损的临床表现和并发症有哪些5法洛四联症的并发症有哪些？如何处理！

2 动脉导管未闭的主要临床表现有哪些？ 3 为什么小儿房间隔缺损容易漏诊？ 4 室间隔缺损的临床表现和并发症有哪些？ 5 法洛四联症的并发症有哪些？如何处理？