能否介入疗法

凭海临风

<P>女孩，8岁，体重不祥，人偏瘦小</P>
: _* W) U" Z4 o: Q" N7 {+ H, x( Z<P>上个月体检查出有先心病，B超结果如下：我们想通过介入治疗，不知是否可以。如果可以，手术费用大概多少？不胜感谢！！！</P>
<P >主动脉内径<FONT face="Times New Roman">21mm</FONT>，主肺动脉内径<FONT face="Times New Roman">20mm</FONT>，右肺动脉内径<FONT face="Times New Roman">9.7mm</FONT>，左肺动脉内径<FONT face="Times New Roman">8.9mm</FONT>，室间隔<FONT face="Times New Roman">5mm</FONT>，左室后壁<FONT face="Times New Roman">5mm</FONT>，右房横径<FONT face="Times New Roman">38mm</FONT>，右室横径<FONT face="Times New Roman">36mm</FONT>，左房前后径<FONT face="Times New Roman">25mm</FONT>，左室舒张末前后径<FONT face="Times New Roman">31mm</FONT>，左室收缩末前后径<FONT face="Times New Roman">22mm</FONT>，左室舒张末容量<FONT face="Times New Roman">39ml</FONT>，左室收缩末容量<FONT face="Times New Roman">16ml</FONT>，每搏输出量<FONT face="Times New Roman">23ml</FONT>，短轴缩短率<FONT face="Times New Roman">30</FONT>％，射血分数<FONT face="Times New Roman">59</FONT>％<p></p></P>
3 K9 U. Q6 B" f! s3 `<P ><FONT face="Times New Roman">1．</FONT>右心增大，余房室腔大小正常<p></p></P>
<P ><FONT face="Times New Roman">2．</FONT>房间隔连续中断，大动脉短轴示：房间隔总长<FONT face="Times New Roman">32mm</FONT>，缺损约<FONT face="Times New Roman">25mm</FONT>，距心房后壁<FONT face="Times New Roman">0mm</FONT>，距主动脉<FONT face="Times New Roman">6.1mm</FONT>，胸骨旁四腔示：房间隔总长<FONT face="Times New Roman">33mm</FONT>，缺损约<FONT face="Times New Roman">24mm</FONT>，距二尖瓣前叶<FONT face="Times New Roman">7mm</FONT>，距肺静脉<FONT face="Times New Roman">0mm</FONT>，剑下两腔示：房间隔总长<FONT face="Times New Roman">43mm</FONT>，缺损约<FONT face="Times New Roman">24mm</FONT>，距上腔静脉<FONT face="Times New Roman">10.2mm</FONT>，距下腔静脉<FONT face="Times New Roman">3mm</FONT>，可见左向右过隔血流束，频谱峰值流速<FONT face="Times New Roman">1.2cm/s</FONT>，压差<FONT face="Times New Roman">5.0mmHg<p></p></FONT></P>
<P ><FONT face="Times New Roman">3．</FONT>各瓣膜结构回声未见异常，二尖瓣轻度返流，估测肺动脉收缩压<FONT face="Times New Roman">28mmHg<p></p></FONT></P>
% N  L2 @6 d! L5 g& {" A* ~<P ><FONT face="Times New Roman">4．</FONT>室间隔未见过隔血流，未见动脉导管开放<p></p></P>
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
8 V, p+ S+ `- V9 I& l- ^& [<P >超声提示：<p></p></P>
<P >先天性心脏病<p></p></P>
<P >房间隔继发孔缺损（房水平左向右分流）<p></p></P>
<P>二尖瓣轻度返流</P>
+ K& V* t: Y. H  q$ C
1 t9 |4 @9 P3 M) r9 m+ F3 X8 Y

凭海临风

<P>请各位路过的DX帮忙看看，女孩的病情严重吗？</P>
5 i% u& x1 p3 L7 P( y  e<P>ADMIN 很希望能听到你的建议。拜谢诸位啦！！</P>

陆医生

您好：<BR>   缺损比较大，不一定能介入治疗，建议还是来我中心明确病情。

凭海临风

谢谢ADMIN