<P >右室<FONT face="Times New Roman"> </FONT>流出道；<FONT face="Times New Roman">29MM </FONT>舒张径；<FONT face="Times New Roman">23MM</FONT></P>/ Y5 W* R/ u$ e
<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>+ p {2 k. U* X
<P >左室<FONT face="Times New Roman"> </FONT>收缩末期<FONT face="Times New Roman"> 22mm </FONT>舒张末期<FONT face="Times New Roman">31mm </FONT>后壁厚度<FONT face="Times New Roman">5mm</FONT></P>$ s7 l) e" [+ v6 i+ H" `/ A2 q
<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>( y) {1 [8 d4 f; v8 v T9 V
<P >主动脉<FONT face="Times New Roman">17mm</FONT></P>
- g/ E/ C5 |: @. I8 e<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P>
( s; D' x% X8 K5 m<P ><FONT face="Times New Roman"> <p></p></FONT></P>) M' B; f/ j5 ]( r0 N8 @5 d
<P >左心功能<p></p></P>) X( Q" c7 L6 Z& L' d' d& A, f& W
<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P># ^/ z4 C7 U! H" X) G" V/ n5 K
<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P>
6 w" J/ q- y1 s7 j9 ^- N8 V' o<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P>3 e" Q( z* L1 }8 z
<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>( D- v# d( l6 m& G6 G
<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>
% F& c* L8 }# c& h<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>
& A( p h& t$ U6 f( E<P >心率（<FONT face="Times New Roman">HR</FONT>）<FONT face="Times New Roman"> 113</FONT>次<FONT face="Times New Roman">/</FONT>分</P> u: X9 u( O) z% o0 i7 b5 o
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
$ y" R' i3 ^/ O/ j. \6 k9 B6 d: J<P >彩色多谱勒血流<p></p></P>3 ~) Q. ^$ _! b8 `& b; a. ^
<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>
5 M" [6 e* X& |: Q<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>3 V+ R4 v+ f# t9 \2 p3 a1 R
<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>
0 p! K1 q% J, P<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>; I1 ]5 C+ B1 a5 f$ D
<P >返流<p></p></P>7 H1 v( K P( F& n; y/ b
<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>& q' n& ~1 _3 @$ p' O
<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P>8 Z6 m" j% C h3 Z* C
<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
( u7 L7 S7 s# R! g# N<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
0 g' `: [6 R; n<P ><FONT face="Times New Roman"> <p></p></FONT></P>- B* j1 ~9 T% M$ m9 s& S
<P >分析</P>
, @- q' }' H% J' g1 ^6 @) U<P >心房正位<FONT face="Times New Roman"> </FONT>心室右（柈<FONT face="Times New Roman"> </FONT>）大血管位置正常<p></p></P>* Z7 _$ J. r V& G! A5 v
<P >右心扩大<FONT face="Times New Roman"> </FONT>肺动脉（坢）塞<FONT face="Times New Roman"> </FONT>心尖四腔切面，见左上下肺静脉汇入左房，右上肺静脉显示不满意未汇入左房，冠状静脉窄扩张<FONT face="Times New Roman">0.9 cm</FONT>，室间隔连续良好，各瓣膜浮动形态正常，室壁厚度正常，右室壁主动增强</P># [# G% e6 b3 q' O/ F U! @
<P ><FONT face="Times New Roman">CDF2</FONT>，<FONT face="Times New Roman">CW</FONT>，<FONT face="Times New Roman">PW</FONT>：心尖五腔房间隔顶部上<FONT face="Times New Roman">C-R</FONT>红色穿隔血流束，流束宽<FONT face="Times New Roman">0.9 cm</FONT>，<FONT face="Times New Roman">V=139 cm/s</FONT></P> r( ~, S/ V+ [* [
<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>
0 R, {- E1 L) G; Z5 F1 q) e7 w% ~5 g<P ><B >超生诊断<p></p></B></P>
' E* M- i8 G8 Z' c<P >先心病</P>
4 a* N$ t) g$ f5 b<P >右心扩大</P>
. F9 M0 w+ P2 x3 x- Q j, D& r<P >部分肺静脉异位分流可能性大</P>
+ g# \/ K& i' p) O7 [$ K<P >上腔型房间隔缺损不除外</P>* B( G3 Z3 Y+ w* p$ A* \/ M9 Z
<P >冠状静脉（窦）扩张</P>) H( M6 r% R2 q& }! D, D, _
<P >三尖瓣反流</P>0 r- S- b7 \: k7 s
<P >建议进一步检查</P> q: v% a3 Z4 }) N( \* ~. w
<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>
9 N( Q! E4 z+ y+ O<P ><FONT face="Times New Roman"></FONT> </P>
+ h; L; X3 F) d2 B7 [8 v" H<P ><FONT face="Times New Roman">请医生和大家帮帮忙看看我儿子房缺0.5cm+肺静脉异位+三尖瓣反流，三种情况严重吗，手术是不是比较复杂，可不可以做介入？儿子体重35，身高1.05，体质好，不常感冒</FONT></P>/ u. b1 x3 L: Z5 U# K4 T2 e% y
<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
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发表于 2006-2-20 07:47:16
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发表于 2006-2-21 03:08:06
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