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所在平台: Udemy |
课程主页: https://www.udemy.com/course/congenital-heart-disease-made-easy/
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Coursera 课程《先天性心脏病轻松学》旨在简化这一复杂的心脏病学亚专科。课程共分三部分。 **第一部分** 侧重于先天性心脏病的病史采纳和体格检查，以及儿科心电图的独特特征。 **第二部分** 深入探讨胎儿循环、先天性心脏病的并发症、胚胎学、解剖学和病理学。重点在于系统性的分段分析方法，用于鉴别诊断。此外，课程还详细介绍了单心室和双心室修复的各种外科手术以及介入治疗。 * **单心室修复手术** 适用于多种情况，包括： * 瓣膜异常：如三尖瓣闭锁、严重的Ebstein畸形、室间隔完整的肺动脉闭锁、伴心室间隔缺损和右心室发育不良的肺动脉闭锁、右心室发育不良的肺动脉狭窄、二尖瓣闭锁、主动脉闭锁。 * 左心低发育综合征。 * 单心室生理修复：适用于单纯单心室、双出口心室、双入口心室、失代偿性房间隔缺损、不适合双心室修复的先天性转位大动脉，例如二尖瓣或三尖瓣跨骑、无法接近或多发室间隔缺损，以及许多异构综合征患者。 * **双心室修复手术** 包括： * 房间隔调转术（Mustard & Senning术）。 * Jatene大动脉调转术。 * Rastelli手术。 * REV手术。 * 右室-肺动脉导管。 * 左室-肺动脉导管。 * 这些手术用于修复多种先天性疾病，如：完全性转位大动脉、单纯心室转位、先天性转位大动脉、右室双出口、左室双出口、伴有室间隔缺损的肺动脉闭锁以及永存动脉干。 **第三部分** 则详细研究每一种个体先天性心脏病。
Congenital Heart disease is one of the most tough subspecialties in cardiology. In this course, the study of congenital heart disease has been beautifully simplified, but without scarificing essential knowledge. You will find a well-structured and integrated course, which is so easy to go through. The course was classified into three sections. In section 1, a brief description is providede of the history taking and physical examination of the patient with suspected congenital heart disease, and the most important and unique features of pediatic electrocardiography. In section 2, you will find a discussion of the fetal circulation, complications of congenital heart disease, embryology, anatomy and pathology, followed by a detailed discussion of the systematic method of segmental analysis used in the differential diagnosis, surgical operations used for univentricular and biventricular repair of various anomalies, as well as catheter-based interventions. Surgical operations used for univentricular repair are applied for many anomalies including: Valvular anomalies such as Tricuspid atresia and severe form of Ebstein's anomaly, Pulmonary atresia with intact ventricular septum, Pulmonary atresia with ventricular septal defect (VSD) and hypoplastic right ventricle, Critical pulmonary stenosis with hypoplastic right ventricle, Mitral atresia, Aortic atresia, Hypoplastic left heart syndrome. these operations are also used for the repair of Single ventricle physiology in the following conditions: Single ventricle, Double-outlet ventricle, Double-inlet ventricle, Unbalanced endocardial cushion defects, congenitally corrected Transposition of the Great Arteries (TGA) unfit for biventricular repair, such as patients with straddling mitral or tricuspid valve, inaccessible or multiple ventricular septal defects, and also in many patients with the Heterotaxy syndrome. Many procedures, on the other hand are used for biventricular repair in cluding: Atrial switch operations (Mustard & Senning), Arterial switch operation of Jatene, Rastelli procedure, REV procedure, Nikaidoh procedure, righr ventricle-pulmonary artey conduit, and left ventricle pulmonary artey conduit. These last procedurse are applied for many congenital anomalies including: Complete TGA, Isolated ventricular inversion, Congenitally corrected TGA, double outlet right ventricle, double outlet left ventricle, Pulmonary atresia with VSD, and Persistent truncus arteriosus (PTA).In sections 3, a detailed study of indvidual anomalies is provided.
