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<P ><FONT size=3>宝宝出生第一天检查心脏有杂音、口唇青紫<FONT face="Times New Roman">(</FONT>其它部位不会青紫<FONT face="Times New Roman">)</FONT>，后来做了<FONT face="Times New Roman">B</FONT>超，结果提示新生儿动脉导管未闭及卵圆孔未闭<FONT face="Times New Roman"> (</FONT>结果如下所附<FONT face="Times New Roman">)</FONT>。医生当时说六个月后再做<FONT face="Times New Roman"> B </FONT>超复查，期间如有感冒要引起注意，不需额外护理。现在已满三个月，宝宝发育正常，心脏有轻微杂音，比以前好。但哭时口唇青紫还是较明显。不哭时口唇青紫症状比以前好，基本看不出口唇青紫。但还是担心<FONT face="Times New Roman">……<p></p></FONT></FONT></P>* p2 B+ x; t% ^" l
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>7 j0 Y2 z8 |, i- O' k$ D3 |; @4 O
<P ><FONT size=3>请问医生：<p></p></FONT></P> ]3 C9 B# f# i/ T& r3 t$ A. D3 S
<P ><FONT face="Times New Roman"><FONT size=3>1.</FONT> </FONT><FONT size=3>从当时<FONT face="Times New Roman"> B </FONT>超结果看，问题是否严重？是否要尽量避免宝宝哭闹？<p></p></FONT></P>+ p/ A' T- `5 n2 ]
<P ><FONT face="Times New Roman"><FONT size=3>2.</FONT> </FONT><FONT size=3>动脉导管及卵圆孔两种情况的自然闭合的可能性有多高？<p></p></FONT></P>. L; v. Z b) F" p4 e' |6 m8 C
<P ><FONT face="Times New Roman"><FONT size=3>3.</FONT> </FONT><FONT size=3>是否六个月再做<FONT face="Times New Roman"> B </FONT>超？平时要注意哪些问题？<p></p></FONT></P># R8 H# k( J5 l8 ]5 N
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>2 [' i9 U' x5 F
<P ><FONT size=3>本人在外地，希望能答复，谢谢！<p></p></FONT></P>' \( c# ?5 Y+ }3 K% J' G
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>% K5 X) k/ A& q) ~/ J8 D4 S- a( j
<P ><FONT size=3>附：<FONT face="Times New Roman"> <p></p></FONT></FONT></P>! b: S8 G( I a) P
<P ><B>超声影像科检查报告单</B><B><p></p></B></P>
* E- d* O4 m4 y" ]% ~) h4 a- C& W<P ><FONT face="Times New Roman" size=3> </FONT></P>
6 ?0 P# R+ _3 r) K ?3 F<P ><FONT size=3>性别：男<FONT face="Times New Roman"> </FONT>年龄：<FONT face="Times New Roman">1 </FONT>天<FONT face="Times New Roman"> </FONT>仪器型号：<FONT face="Times New Roman">VV7(1) </FONT>检查部位：心脏<p></p></FONT></P>: i3 k3 u6 d/ e& I! O$ T2 o6 g4 f
<P ><FONT face="Times New Roman" size=3> </FONT></P>
- w. F% K: S. K) M" P) S; e7 u<TABLE cellSpacing=0 cellPadding=0 border=1>2 U3 Y: u" g+ n7 F! S0 w3 |
7 j. R) b* d2 ?/ l( J, i<TR >, i) h" x( t# }) j0 \/ Z; `/ }
<TD vAlign=top width=344 colSpan=2>% @2 I' B5 O; Z+ Q/ G l9 f) A3 o( k4 d
<P >心脏测值（<FONT face="Times New Roman">mm</FONT>）<p></p></P></TD>' A, r5 A. N `3 g; I( G3 y9 q' T
<TD vAlign=top width=151>
A2 O$ B7 |9 u3 h; \8 \- P<P ><FONT face="Times New Roman">Doppler</FONT>检查<FONT face="Times New Roman">(m/s)<p></p></FONT></P></TD>
9 ]* ]) ]: \3 D, ^" N3 k- _% z<TD vAlign=top width=178>
9 _* d2 Y5 A' c4 `6 x* x2 F V* ~<P >心功能检查<p></p></P></TD>* _! v0 d5 ~# _% s/ g7 ]
<TD width=1>4 q4 x9 K0 e/ n' e* o2 A5 Q
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
% X$ w' p. f J8 j<TR >/ X$ K+ Y1 m7 W0 |: `7 N8 Q
<TD vAlign=top width=165>2 x( g$ l! f2 i8 F+ R# [' l( W
<P ><FONT face="Times New Roman">RVOT 7mm<p></p></FONT></P></TD>- v# j" s* S1 m
<TD vAlign=top width=179>
3 Y. c: }+ g A/ a1 T/ K( W<P ><FONT face="Times New Roman">RVDd 10mm<p></p></FONT></P></TD>5 X0 T0 n+ ^2 _" y1 _
<TD vAlign=top width=151>
. X! w" v& z7 s+ l8 R9 x<P ><FONT face="Times New Roman">MVE 0.64 m/s<p></p></FONT></P></TD>
* r0 ?+ Z/ h1 z1 u' r9 f8 I<TD vAlign=top width=178>( |# @3 U& G( n/ x
<P ><FONT face="Times New Roman">EF 70%<p></p></FONT></P></TD>
0 s! |! i2 x1 p5 [2 ~8 }2 @) i' W<TD width=1>
; h( _+ r; L- F# R+ k<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>+ H' V# K: ]8 N2 |" @
<TR >
- s1 o- {* m- `* s5 w/ T6 R<TD vAlign=top width=165>4 l2 t; L& t" x. K. b* Y
<P ><FONT face="Times New Roman">LVDs 10mm<p></p></FONT></P></TD>
* ~, R1 F2 b$ r* M9 R4 ?<TD vAlign=top width=179>
; b4 }9 a" B9 j1 ]<P ><FONT face="Times New Roman">LVDd 15mm<p></p></FONT></P></TD>! o9 n" R6 R9 U
<TD vAlign=top width=151>
( u. v' K% V' u: e) N' t<P ><FONT face="Times New Roman">MVA 0.52 m/s<p></p></FONT></P></TD>
: o* u. r# l- F2 i<TD vAlign=top width=178>, ], w9 k3 T7 m' M9 q" |1 g& @1 ?
<P ><FONT face="Times New Roman">FS 36%<p></p></FONT></P></TD>) A r/ b: L7 k5 C8 r' W* E
<TD width=1>
# P& y5 w0 H, Y0 y( T5 d<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
* ~: Y9 t* r4 ^<TR >
) Z$ u* |/ ]$ v i5 _) u<TD vAlign=top width=165>) M- e6 @) @0 E& T+ }( R
<P ><FONT face="Times New Roman">AO 8mm<p></p></FONT></P></TD>6 q0 N2 v9 E( d$ f4 l( R
<TD vAlign=top width=179>
! c; {+ Z& m% q9 a) X; p' l1 @<P ><FONT face="Times New Roman">LA 9mm<p></p></FONT></P></TD>. o# G5 ]3 d' Z p3 G
<TD vAlign=top width=151>% {2 E4 B/ n, \
<P ><FONT face="Times New Roman">TVE 0.35 m/s<p></p></FONT></P></TD> `! a" w p3 J9 m% C7 m
<TD vAlign=top width=178>( H4 e O- {' i+ c
<P ><FONT face="Times New Roman"> </FONT></P></TD>5 n5 Y8 [' O F6 y$ L
<TD width=1>
) P9 h4 U+ U# i A/ p<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
. K0 v) @6 H# ^6 Q/ K0 o1 T<TR >( Z) b$ n: {4 p- |
<TD vAlign=top width=165>( B- ]/ |( p7 h# F2 S; ]1 }
<P ><FONT face="Times New Roman">LVSd 4mm<p></p></FONT></P></TD>
, B T& a5 X2 [! ^- k9 M<TD vAlign=top width=179>/ s/ J2 O* `# f6 W3 o
<P ><FONT face="Times New Roman">IVS</FONT>搏动幅度<FONT face="Times New Roman"> 3mm<p></p></FONT></P></TD>
" M& C' B/ Z1 P( a, q<TD vAlign=top width=151>- S. K- k4 p7 [% o
<P ><FONT face="Times New Roman">TVA 0.31 m/s<p></p></FONT></P></TD>0 N& z( C9 ?9 {: d- t
<TD vAlign=top width=179 colSpan=2>
& K6 w) {$ p7 r8 m* a9 Q$ M<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>$ s/ D% d. f5 m' ]
<TR >
* n4 L ^; Q4 D( ?3 I) _<TD vAlign=top width=165>; R8 _8 R0 X2 `5 q
<P ><FONT face="Times New Roman">LVPWd 4mm<p></p></FONT></P></TD>, o. ]) q; _7 H! w* M
<TD vAlign=top width=179>
! B* p+ ~, [" ^7 k<P ><FONT face="Times New Roman">LVPW</FONT>搏动幅度<FONT face="Times New Roman">9mm<p></p></FONT></P></TD>
8 {4 A, t7 t: l7 c<TD vAlign=top width=151>" B" c: d' r; w4 P4 z1 {
<P ><FONT face="Times New Roman">AV 0.79 m/s<p></p></FONT></P></TD>( j) Q3 X/ i) I+ ], Z X
<TD vAlign=top width=179 colSpan=2>+ g8 P5 o" w# [) ^) E" ~' T2 l5 l
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
/ u) W; s/ g5 o0 W6 f) t<TR >
0 j2 _# @$ w+ Y1 n- P2 d% N5 E; k<TD vAlign=top width=165>
# e" `0 S+ n$ A<P ><FONT face="Times New Roman"> </FONT></P></TD>0 D0 w* o7 y- Z5 q j% v1 w" l$ B# _: T
<TD vAlign=top width=179>
4 ~/ n+ k: W/ `4 n; `5 e, T' J) o<P ><FONT face="Times New Roman"> </FONT></P></TD>
3 h6 ?) v; u+ V<TD vAlign=top width=151>
& W" D/ C$ T- z' V<P ><FONT face="Times New Roman">PV 0.89 m/s<p></p></FONT></P></TD>; l5 A: ?7 b2 G& e# Q+ `, V% w: i: m$ M
<TD vAlign=top width=179 colSpan=2>5 w1 H. |7 d1 [; I
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR></TABLE>
" j8 [/ P4 C! a1 D/ d* z- s! L<P ><FONT face="Times New Roman" size=3> </FONT></P>) e: j ^$ d( v2 d# |* x" W- A. z
<P ><FONT size=3><B>超声描述：</B><B><p></p></B></FONT></P>
5 J2 }; u' {2 z- m4 l) _- b5 Q8 P<P ><FONT size=3>升主动脉内径正常。肺动脉内径正常。主<FONT face="Times New Roman">-</FONT>肺动脉间见异常交通，内径约<FONT face="Times New Roman">3mm</FONT>。心瓣膜回声纤细柔软，启闭良好。各心腔未见明显扩大。左室壁不厚，静息状态室壁运动正常。房室间隔连续完整。心包腔未见液性暗区。<FONT face="Times New Roman">Dopple&CDFI</FONT>：上述主<FONT face="Times New Roman">-</FONT>肺动脉间见异常连续性分流，峰速度约<FONT face="Times New Roman">3.1m/s</FONT>。三尖瓣口见少量返流束峰值速度<FONT face="Times New Roman">2.1m/s</FONT>。房水平中部见细束左向右分流。<p></p></FONT></P>) d5 O- t% N. p
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
# Q- s/ J/ d% g1 b! R; _<P ><FONT size=3><B>超声描述：</B><B><p></p></B></FONT></P>; _2 u, N7 ]9 `- {+ d
<P ><FONT size=3>新生儿动脉导管未闭。<p></p></FONT></P>
6 |* N# o6 W% L `% ]& v: E<P ><FONT size=3>卵圆孔未闭。<p></p></FONT></P>
0 T# u. Q* P3 S; P7 \5 Q" G/ X* ^4 E<P ><B><FONT face="Times New Roman" size=3> </FONT></B>诊断时间：<FONT face="Times New Roman">2005-01-25</FONT></P> |
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发表于 2005-4-26 20:12:01
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发表于 2005-4-26 23:25:19
