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<P ><FONT color=#000000 size=1>女儿十个月了，体重8公斤。今天带她去儿科做了检查，超声检查情况如下：</FONT></P>
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<P >超声表现：</P>
8 e4 _# l. _3 L: d! ^6 {* u<P >主要测值：（单位：<FONT face="Times New Roman">mm</FONT>）</P>) s$ U- z% _7 Y" G( D) @1 m
<P ><FONT face="Times New Roman">PVOT17</FONT> <FONT face="Times New Roman">A013</FONT> <FONT face="Times New Roman">LA14</FONT> <FONT face="Times New Roman">LVOT14</FONT> <FONT face="Times New Roman">LVDd27</FONT> <FONT face="Times New Roman">LVDs18</FONT></P>
; i* g& h; ] m. ]) x0 B, @& P. M<P ><FONT face="Times New Roman">LVPW4/4</FONT> <FONT face="Times New Roman">IVS4/5</FONT> <FONT face="Times New Roman">RV10</FONT> <FONT face="Times New Roman">PA14</FONT> <FONT face="Times New Roman">RA23</FONT></P>; L3 n: r9 _) X4 D
<P >最大流速（单位：<FONT face="Times New Roman">m/s</FONT>）</P>
$ o( h* I9 B) s" Z, B J6 P& M<P ><FONT face="Times New Roman">MV107</FONT> <FONT face="Times New Roman">TV1.04</FONT> <FONT face="Times New Roman">AA01.21</FONT> <FONT face="Times New Roman">MPA1.14</FONT></P>1 y/ \% k5 L- f& g5 ~& \* b
<P >房室大小测值未见异常，室壁动度及厚度未见异常。</P>* E5 O/ @' \- _; ~0 M6 s
<P >室间隔回声中断，中断处基底宽<FONT face="Times New Roman">6.2mm</FONT>，该处可见组织附着，顶端可见两处分流口，分别宽<FONT face="Times New Roman">2.1mm</FONT>与<FONT face="Times New Roman">2.8mm</FONT>，位于主动脉短轴切面<FONT face="Times New Roman">10</FONT>点至<FONT face="Times New Roman">11</FONT>点钟位置，<FONT face="Times New Roman">CDFI</FONT>于该处见左向右分流束，<FONT face="Times New Roman">CW</FONT>在缺损处记录到高速收缩期湍流，速度<FONT face="Times New Roman">2.93m/s</FONT>。房间隔连续正常，房间隔平面及主肺动脉内未见分流。</P>/ |. O3 |; m; C$ D4 K9 \' b
<P ><p><FONT face="Times New Roman"> </FONT></p></P>, p" `& C2 i/ X6 ~ m$ u
<P >诊断意见：</P>+ D5 Z+ c% J% }+ g
<P >先天性心脏病：室间隔缺损</P>/ ?: {7 K! C) Q; F
<P align=left><FONT color=#ff0000 size=2></FONT> </P>
c2 g/ v7 V( [' \ N<P ><STRONG><FONT color=#ff3300 size=3>以下是女儿3个月时照的情况</FONT></STRONG></P>$ R. N- \6 J7 F* ]
<P >超声表现：</P>
4 y5 L+ j$ o% D& B<P >主要测值：（单位：<FONT face="Times New Roman">mm</FONT>）</P>
2 k) ^3 L2 X$ j2 f, ?' z+ G<P ><FONT face="Times New Roman">PVOT15</FONT> <FONT face="Times New Roman">A012</FONT> <FONT face="Times New Roman">LA14</FONT> <FONT face="Times New Roman">LVOT13</FONT> <FONT face="Times New Roman">LVDd24</FONT> <FONT face="Times New Roman">LVDs14</FONT></P>8 J* a1 U; H& E5 a- U8 [/ b
<P ><FONT face="Times New Roman">LVPW3/6</FONT> <FONT face="Times New Roman">IVS4/4</FONT> <FONT face="Times New Roman">RV9</FONT> <FONT face="Times New Roman">PA11</FONT> <FONT face="Times New Roman">RA18</FONT></P>& ?6 `4 E! `# I Z0 R
<P >最大流速（单位：<FONT face="Times New Roman">m/s</FONT>）</P>
: m. U3 P: p$ V/ P( u<P ><FONT face="Times New Roman">MV1.30</FONT> <FONT face="Times New Roman">TV0.86</FONT> <FONT face="Times New Roman">AA01.36</FONT> <FONT face="Times New Roman">MPA1.19</FONT></P>3 f ~7 b" t# @7 Q) y8 ]) v3 f
<P >房室大小测值未见显著异常，室壁动度及厚度未见异常。</P>
* T4 D9 ?' ?& u9 X( v$ e<P >室间隔靠十字交叉处向右室膨出假性室隔瘤，基底部宽<FONT face="Times New Roman">7mm</FONT>，顶端见两处左向分流束，分别宽<FONT face="Times New Roman">2mm</FONT>与<FONT face="Times New Roman">3mm</FONT>，位于主动脉短轴切面<FONT face="Times New Roman">9</FONT>点至<FONT face="Times New Roman">11</FONT>点钟位置，<FONT face="Times New Roman">CW</FONT>在缺损处记录到高速收缩期湍流，速度<FONT face="Times New Roman">3.36m/s</FONT>。</P>9 g/ `$ @ `0 ~/ s; z8 v8 l0 I
<P >房间隔中部记录到左向右分流彩束，宽<FONT face="Times New Roman">4mm</FONT>。</P>
$ t6 h* ^: f. p) ]0 r2 \<P >右冠状动脉主干内径<FONT face="Times New Roman">2mm</FONT>，可见长<FONT face="Times New Roman">6mm</FONT>。</P>* {& i2 ~$ C. ^; p) d7 t
<P >左冠状动脉主干内径<FONT face="Times New Roman">2mm</FONT>，可见长<FONT face="Times New Roman">5mm</FONT>。</P>1 C( G8 R+ o& l- e0 p
<P >收缩期三尖瓣口反流束长<FONT face="Times New Roman">7mm</FONT>，宽<FONT face="Times New Roman">3mm</FONT>。</P>
* U5 q5 V( a4 h- y. q1 ^# k<P ><p><FONT face="Times New Roman"> </FONT></p></P>- A; j5 T3 V9 Q Z) s
<P >诊断意见：</P>$ N. w4 U# [2 n Y) e
<P ><FONT face="Times New Roman">1 </FONT>先天性心脏病：室间隔缺损</P>& u+ N8 ^* U+ b) k
<P ><FONT face="Times New Roman">2 </FONT>房间隔卵圆孔未闭</P>
* L4 n" {) w& _; B0 t<P ><FONT face="Times New Roman">3 </FONT>冠状动脉未见扩张</P>$ y, E' n/ ?1 r; I: f5 k
<P ><FONT face="Times New Roman">4 </FONT>三尖瓣反流（轻度）</P>6 k: i) R: U& E7 }' l4 D" q5 e0 N
<P > </P> A" R0 x: ^( g9 |1 K
<P ><FONT color=#ff0000 size=2></FONT> </P>
3 s3 F# Z( t: z9 C, L1 M/ G<P ><FONT color=#ff0000 size=2>请问我女儿的病情发展趋势是好还是坏，有没有自愈的可能性？</FONT></P>4 l, d- p3 M. g ` V
<P ><FONT color=#ff0000 size=2></FONT> </P>
: C9 \; a9 @4 w* x; Y" c. n/ b5 g<P ><FONT color=#ff0000 size=2>如不能自愈，应该选择介入治疗还是手术治疗？能不能满足介入的条件？如果不能，为什么？听说介入术对小孩的创伤要小一些，也不愿意女儿留下手术疤痕。</FONT></P>6 a1 T* T' r, b: D" ?) L& [9 L8 p
<P ><FONT color=#ff0000 size=2></FONT> </P>8 x9 V; K# c" x0 j }: U' P% ~
<P ><FONT color=#ff0000 size=2>如果必须做手术，最好是什么时候？</FONT></P>
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<P ><FONT color=#ff0000 size=2>真的很着急，望大家给点建议！！</FONT></P> |
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发表于 2006-4-26 05:42:52
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