房缺术后问题,请教

心焦的父母

<P>我的儿子房缺做的介入封堵已一个月.请问:</P>
<P>1,复查是否彩超,胸片,心电图.都要做?</P>
<P>2,复查的时候要注意哪些问题?</P>
: I" l5 N3 k! _) K" L% r<P>3,现正服用阿斯匹林.能否进补.比如黄金搭档,生命一号等?</P>
. B! \$ }. D3 q1 E<P>4,孩子现在能做些简单的体育活动吗?</P>
<P>5,这种封堵器啥时能长"肉"?啥时能牢固?</P>

陆医生

您好：<BR>    1,三项都要做；<BR>    2,没有看懂你的意思；<BR>    3,建议不要随便进补；<BR>    4,可以；<BR>    5,1年以后吧。

zzy

<P 0pt? 0cm>尊敬的医生<FONT face="Times New Roman">,</FONT>紧急求助</P>
<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;>我的宝宝<FONT face="Times New Roman">(</FONT>男<FONT face="Times New Roman">)</FONT>于<st1:chsdate IsROCDate="False" IsLunarDate="False" Day="17" Month="3" Year="2005" w:st="on"><FONT face="Times New Roman">2005</FONT>年<FONT face="Times New Roman">3</FONT>月<FONT face="Times New Roman">17</FONT>日</st1:chsdate>出世<FONT face="Times New Roman">,</FONT>一个月后检查出先心病<FONT face="Times New Roman">.</FONT></P>
5 |- y' x: c; D+ v<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;>彩超提示如下<FONT face="Times New Roman">:</FONT>主动脉根部<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".9" UnitName="cm">0.9cm</st1:chmetcnv>, </FONT>左心房<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.4" UnitName="cm">1.4cm</st1:chmetcnv>, </FONT>右心室<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.1" UnitName="cm">1.1cm</st1:chmetcnv>, </FONT>室间隔<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".4" UnitName="cm">0.4cm</st1:chmetcnv>, </FONT>左心室<FONT face="Times New Roman">(</FONT>收缩末<FONT face="Times New Roman">)<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".85" UnitName="cm">0.85cm</st1:chmetcnv>, </FONT>左心室<FONT face="Times New Roman">(</FONT>舒张末<FONT face="Times New Roman">)<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.61" UnitName="cm">1.61cm</st1:chmetcnv>, </FONT>左心室后壁<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".36" UnitName="cm">0.36cm</st1:chmetcnv>, </FONT>肺动脉<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1" UnitName="cm">1.0cm</st1:chmetcnv>. EF:81.8%,FS:47.2%. </FONT>主动脉正常<FONT face="Times New Roman">,</FONT>主动脉瓣正常<FONT face="Times New Roman">,CDFI</FONT>探查未见收缩期湍流征<FONT face="Times New Roman">,</FONT>舒张期无返流<FONT face="Times New Roman">,</FONT>左心房内径稍增大<FONT face="Times New Roman">,</FONT>腔内未见血栓回声<FONT face="Times New Roman">. </FONT>二尖瓣正常<FONT face="Times New Roman">,</FONT>开放正常<FONT face="Times New Roman">, CDFI</FONT>探查未见舒张期加速的彩流<FONT face="Times New Roman">,</FONT>收缩期无返流<FONT face="Times New Roman">,</FONT>左心室内径正常<FONT face="Times New Roman">,</FONT>室壁厚度正常<FONT face="Times New Roman">,</FONT>室壁运动正常<FONT face="Times New Roman">. </FONT>室间隔有回声中断<FONT face="Times New Roman">,</FONT>大小<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".8" UnitName="cm">0.8cm</st1:chmetcnv>,</FONT>位于膜部<FONT face="Times New Roman">, CDFI</FONT>可在该处探及收缩期<FONT face="Times New Roman">:</FONT>分流左→右<FONT face="Times New Roman">,CW</FONT>测得<FONT face="Times New Roman">Vmax=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.7" UnitName="m">1.7m</st1:chmetcnv>/s, </FONT>房间隔有回声中断<FONT face="Times New Roman">,</FONT>大小<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".4" UnitName="cm">0.4cm</st1:chmetcnv>,</FONT>位于卵圆孔<FONT face="Times New Roman">,CDFI</FONT>可在该处探及舒张期<FONT face="Times New Roman">:</FONT>分流左→右,右心房正常,三尖瓣正常,CDFI探查未见返流,右心室正常,主肺动脉内径正常,肺动脉瓣增厚,反光增强,开放受限,CDFI可探及收缩期湍流五彩镶嵌血流频谱<FONT face="Times New Roman">,</FONT>以<FONT face="Times New Roman">CW</FONT>测得<FONT face="Times New Roman">Vmax=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.2" UnitName="m">2.2m</st1:chmetcnv>/s,</FONT>心包正常<FONT face="Times New Roman">. </FONT>超声提示室间隔缺损<FONT face="Times New Roman">,</FONT>房间隔缺损<FONT face="Times New Roman">(</FONT>继发孔型<FONT face="Times New Roman">),</FONT>肺动脉瓣轻度狭窄<FONT face="Times New Roman">.</FONT></P>
<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;>观察宝宝平时睡觉时偶尔气促<FONT face="Times New Roman">,</FONT>偶尔有鼻鼾声<FONT face="Times New Roman">. </FONT>在吸奶时急促<FONT face="Times New Roman">,</FONT>容易呛到<FONT face="Times New Roman">.</FONT></P>
: `# b8 B( U9 s) a0 X7 ^<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;>宝宝现正因肺炎住院<FONT face="Times New Roman">,</FONT>由发现咳嗽到发展为肺炎只是一天时间<FONT face="Times New Roman">,</FONT>经过已经<FONT face="Times New Roman">4</FONT>天住院治疗还没有明显好转迹象<FONT face="Times New Roman">, </FONT>睡觉时气促<FONT face="Times New Roman">,</FONT>有鼻鼾声<FONT face="Times New Roman">.</FONT>在吸奶时急促<FONT face="Times New Roman">,</FONT>容易呛到<FONT face="Times New Roman">.</FONT>此外还发现夜深时有身体发颤的情况<FONT face="Times New Roman">.</FONT>觉得宝宝睡觉时比较难受<FONT face="Times New Roman">.</FONT></P>
<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;>我已查阅了大量的相关资料<FONT face="Times New Roman">,</FONT>但不知道什么时候才是最佳手术时间<FONT face="Times New Roman">,</FONT>我宝宝的情况是否算严重<FONT face="Times New Roman">,</FONT>要多少费用<FONT face="Times New Roman">,</FONT>手术成功率有多少<FONT face="Times New Roman">,</FONT>该怎么照顾宝宝<FONT face="Times New Roman">,</FONT>如何减少宝宝的生病机会<FONT face="Times New Roman">,</FONT>在宝宝手术前的几年我又该如何观察宝宝的状况<FONT face="Times New Roman">,</FONT>该病对宝宝的成长有什么影响<FONT face="Times New Roman">…….</FONT>等等<FONT face="Times New Roman">,</FONT>我现在的心理压力非常巨大<FONT face="Times New Roman">,</FONT>除了我太太<FONT face="Times New Roman">,</FONT>不敢告诉任何人<FONT face="Times New Roman">,</FONT>宝宝是家人的掌上明珠<FONT face="Times New Roman">,</FONT>非常担心家人承受不了这现实<FONT face="Times New Roman">,</FONT>况且本人也受不了这煎熬<FONT face="Times New Roman">,</FONT>总感觉宝宝会突然离我而去<FONT face="Times New Roman">,</FONT>就象随时背着个定时炸弹<FONT face="Times New Roman">,</FONT>恳请各位专<st1:PersonName w:st="on" ProductID="家">家</st1:PersonName>教授给我专业意见<FONT face="Times New Roman">,</FONT>告诉我该怎么处理<FONT face="Times New Roman">,</FONT>我不胜感激<FONT face="Times New Roman">,</FONT>我快要扛不住巨大的心理压力了<FONT face="Times New Roman">.</FONT>谢谢<FONT face="Times New Roman">,</FONT>谢谢<FONT face="Times New Roman">,</FONT>谢谢<FONT face="Times New Roman">!!!</FONT></P>
<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;>
<P><FONT face="Times New Roman"></FONT></P>
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; u0 t, w- P) f( G' L; B% o( e<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;><FONT face="Times New Roman"></FONT>一个失败的爸爸<FONT face="Times New Roman">2005.05.06</FONT></P>
/ t2 [& G6 r, C' E* _$ G<P 0cm 2.0? mso-char-indent-count: 21pt; TEXT-INDENT: 0pt;><FONT face="Times New Roman">E-mail:zhu-zhong-yong@163.com</FONT></P>

陆医生

您好：<BR>    1,首先不要定义自己的失败，这不是你的错；<BR>    2,缺损相对较大，但不算很严重，完全可以治愈，在论坛上估计你也看了不少帖子了，不要灰心；<BR>    3,如果肺炎控制，建议三个月时复查一次超声；<BR>    4,如果肺炎难以控制，现在也可以手术，成功率还是很高的。