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<P >我的宝宝在半岁时，被诊断为先天性心脏病，超声诊断结果如下：</P>+ Q# ], @% d7 R4 R3 d6 G. {- P
<P ><FONT face="Times New Roman"> </FONT>主动脉内径<FONT face="Times New Roman">10mm</FONT>，</P>
3 j5 l: Q3 H& X6 h6 J! Y& u. X+ h<P ><FONT face="Times New Roman"> </FONT>左房前后径<FONT face="Times New Roman">10mm</FONT>，左房长／横径：<FONT face="Times New Roman">24</FONT>／<FONT face="Times New Roman">13mm</FONT>，右房长／横径：<FONT face="Times New Roman">23</FONT>／<FONT face="Times New Roman">13mm</FONT>，</P>% J6 [" D5 `5 B
<P ><FONT face="Times New Roman"> </FONT>左室前后径（舒张／收缩）<FONT face="Times New Roman">18</FONT>／<FONT face="Times New Roman">11mm</FONT>，</P>
) S) T; D0 q ~0 k4 Q+ y<P ><FONT face="Times New Roman"> </FONT>左室横径（舒张／收缩）<FONT face="Times New Roman">19</FONT>／<FONT face="Times New Roman">11mm</FONT>，</P>
; @4 C0 m3 C4 s6 P& u5 @' I<P ><FONT face="Times New Roman"> </FONT>左室长径（舒张／收缩）<FONT face="Times New Roman">31</FONT>／<FONT face="Times New Roman">22mm</FONT>，</P>
4 J( v) M& t* r) w4 C- I5 ]" R1 O( c<P ><FONT face="Times New Roman"> </FONT>右室前后径<FONT face="Times New Roman">13mm</FONT>，右室长／横径：<FONT face="Times New Roman">24</FONT>／<FONT face="Times New Roman">13mm</FONT>，</P>8 o; R$ d3 I% C! z) s- T- F h6 }; h
<P ><FONT face="Times New Roman"> </FONT>室间隔厚度／幅度：<FONT face="Times New Roman">3</FONT>／<FONT face="Times New Roman">4mm</FONT>，与后壁呈逆向运动，</P>
' u( \9 d! E0 D6 g2 B7 ^<P ><FONT face="Times New Roman"> </FONT>左室后壁厚度／幅度：<FONT face="Times New Roman">4</FONT>／<FONT face="Times New Roman">4mm</FONT>，</P>4 T- g6 E1 Z/ S$ I1 {
<P ><FONT face="Times New Roman"> </FONT>右室流出道内径<FONT face="Times New Roman">12mm</FONT>，肺动脉内径<FONT face="Times New Roman">8mm</FONT>，</P>
2 d: b# @! b2 J<P ><FONT face="Times New Roman"> </FONT>射血分数<FONT face="Times New Roman">75</FONT>％，短轴缩短率<FONT face="Times New Roman">41</FONT>％，</P>
, S* q' C* o& e0 [1 L, Z: a m( x<P ><FONT face="Times New Roman"> </FONT>每搏量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman">mL</FONT>，每分量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman">L/</FONT>分，</P>
; r B2 J: n. t6 C1 O5 S8 Z% O4 K<P ><FONT face="Times New Roman"> </FONT>跨三尖瓣压力阶差<FONT face="Times New Roman">mmHg</FONT>，肺动脉收缩压<FONT face="Times New Roman">mmHg</FONT>，</P>3 m7 ]' |# m. {+ \% w
<P ><FONT face="Times New Roman"> EDVI:ml/mxm,ESVI:ml/mxm</FONT>。</P>1 A- L' N( d4 d( H4 K
<P ><FONT face="Times New Roman"> 1</FONT>、房间隔中部连续中断，缺损大小约<FONT face="Times New Roman">5mm</FONT>。彩色血流示：房水平左向右五彩分流束，束宽<FONT face="Times New Roman">5mm</FONT>，频谱多普勒于房缺口右侧记录到正向分流频谱，分流速度<FONT face="Times New Roman">1.1m/s</FONT>，分流时间<FONT face="Times New Roman">0.23</FONT>秒。</P>
: Y5 Z; m) t, ]; o0 B<P ><FONT face="Times New Roman"> 2</FONT>、右房、右室扩大，余心腔大小及大血管内径正常。</P>
/ b. Q# `+ m* A1 u% }0 @; ]<P ><FONT face="Times New Roman"> 3</FONT>、各瓣膜厚度、弹性及开放幅度正常。彩色血流未见异常。</P>2 ]6 Z1 M$ c% {5 O) T9 x# k$ ~
<P ><FONT face="Times New Roman"> 4</FONT>、室间隔及左室后壁厚度及搏幅正常。</P>8 @9 c$ N& z; s8 t7 y
<P ><FONT face="Times New Roman"> 5</FONT>、左室<FONT face="Times New Roman">EF</FONT>及<FONT face="Times New Roman">FS</FONT>正常。</P>; F) i" Z2 Z. z. Z5 L% O
<P >超声提示：</P> O7 s0 B+ G6 C2 k: o
<P ><FONT face="Times New Roman"> </FONT>先天性心脏病：</P>! \% N$ \+ z- A4 v% o
<P ><FONT face="Times New Roman"> 1</FONT>、房间隔缺损或卵圆孔未闭。</P>
, t5 J! l* |" T+ C+ V' ~<P ><FONT face="Times New Roman"> 2</FONT>、右心扩大。</P>' Y) m+ T- [3 {* D
<P ><FONT face="Times New Roman"> 3</FONT>、彩色血流示：房水平左向右分流。</P>2 q# ]! L1 E2 |3 o$ E' I; n3 [% m1 s
<P ><FONT face="Times New Roman"> </FONT></P>. Q0 B$ s9 l- w) f
<P ><FONT face="Times New Roman"> </FONT>我的宝宝现在已经<FONT face="Times New Roman">3</FONT>岁了，还未做过复查，从宝宝的精神和体质来看一切都很正常，未表现出异常。</P>
# G3 H+ u ~ X; L: i<P ><FONT face="Times New Roman"> </FONT>请问专家：<FONT face="Times New Roman">1</FONT>、房缺是否会随年龄的增长而增大？</P>
' j9 r# H- G/ M2 a1 ^& k! y2 u<P ><FONT face="Times New Roman"> 2</FONT>、此情况是否需要手术治疗，若需要手术应采用何种方式，手术风险大吗？</P>, v& u$ D! S$ \
<P > 3、“右心扩大”是何意思？</P> |
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发表于 2005-10-18 07:01:02
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发表于 2005-10-20 14:17:02
