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<P><FONT face="Times New Roman"> </FONT>兰州大学第一医院心脏超声检验报告<br><br>
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* j& k" e8 z9 V; A# O<P>检查日期<FONT face="Times New Roman">2006</FONT>年<FONT face="Times New Roman">04</FONT>月<FONT face="Times New Roman">20</FONT>日<FONT face="Times New Roman">11</FONT>：<FONT face="Times New Roman">50 <br>: x! D5 ]( F1 m+ {5 z+ v: S
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& V4 T3 [0 F$ V* Z<P>姓名：王宜鉴<FONT face="Times New Roman"> </FONT>性别：男<FONT face="Times New Roman"> </FONT>年龄：<FONT face="Times New Roman">2 </FONT>科别：小儿科<FONT face="Times New Roman"> <br>! K, m2 Y- }+ n
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<P><FONT face="Times New Roman">M</FONT>型测量数值：主动脉前后径<FONT face="Times New Roman"> 15 (mm) </FONT>左房前后径<FONT face="Times New Roman"> 39 (mm) </FONT>左室流出道<FONT face="Times New Roman"> 18 (mm)<br>0 I2 F6 F3 J, w( ~& ?3 p: t
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<P>主动脉瓣开放幅度<FONT face="Times New Roman"> 8 (mm) </FONT>左房<FONT face="Times New Roman">/</FONT>主动脉<FONT face="Times New Roman"> 2.56 (mm) </FONT>右室前后径<FONT face="Times New Roman"> 9.89 (mm)<br>
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* `+ G& d) Z# G. }& ~6 b<P>室间隔厚度<FONT face="Times New Roman"> 4.24/6.71 (mm) </FONT>左室前后径<FONT face="Times New Roman">39.2/28.3 (mm) </FONT>左室后壁厚度<FONT face="Times New Roman"> 4.59/7.07 (mm)<br>. i6 Q$ @8 y: G$ K4 l
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' b7 l* } l. a6 ^/ k<P>右室前壁厚度<FONT face="Times New Roman"> 5 (mm) </FONT>右室前壁搏幅<FONT face="Times New Roman"> 7 (mm) </FONT>室间隔与左室后壁<FONT face="Times New Roman"> </FONT>逆向<br>
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$ J' Y1 q. A( U) l! a5 {" p<P>室间隔搏动幅度<FONT face="Times New Roman"> 6 (mm) </FONT>左室后壁搏动幅度<FONT face="Times New Roman"> 7 (mm)<br>) e' x8 H8 J$ Z5 m6 h
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<P><FONT face="Times New Roman">2-D</FONT>测量<FONT face="Times New Roman">: </FONT>升主动脉根部内径<FONT face="Times New Roman"> 11 (mm) </FONT>左心房前后径<FONT face="Times New Roman"> 40 (mm) </FONT>左心室前后径<FONT face="Times New Roman"> 35 (mm)<br>" R. P" ^4 a# `2 F/ i+ T+ M, O
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<P>主肺动脉瓣口内径<FONT face="Times New Roman"> 17 (mm) </FONT>主肺动脉中段内径<FONT face="Times New Roman"> 20 {mm} </FONT>主肺动脉芬叉处内径<FONT face="Times New Roman">26(mm)<br>
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<P>右肺动脉内径<FONT face="Times New Roman"> 10(mm) </FONT>左肺动脉内径<FONT face="Times New Roman"> 11(mm) </FONT>左房横径<FONT face="Times New Roman"> 42(mm)<br>: }5 \8 c) S" m# H
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6 b, `9 @1 \; ?2 k) W: q! w7 |# V6 B<P>左房上下径<FONT face="Times New Roman"> 40(mm) </FONT>右房横径<FONT face="Times New Roman"> 36(mm) </FONT>右房上下径<FONT face="Times New Roman"> 40(mm)<br>
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<P>左室横径<FONT face="Times New Roman"> 33(mm) </FONT>左室上下径<FONT face="Times New Roman"> 39(mm) </FONT>右室横径<FONT face="Times New Roman"> 22(mm)<br>
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<P>右室上下径<FONT face="Times New Roman"> 35(mm) </FONT>上腔静脉内径<FONT face="Times New Roman"> 10(mm) </FONT>下腔静脉内径<FONT face="Times New Roman"> 9(mm)<br>+ {4 T6 X9 e3 g3 n1 F
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8 Q" T/ e W, H4 I! Z, `& `' ]& ]<P>心功能<FONT face="Times New Roman">: FS 27.9(%) ESV 30.3(ml) EF 54.6(%)<br>' j9 V% A9 Z3 N3 k, k
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<P><FONT face="Times New Roman">CI 6.13(L/min/m2) SI 65.4(ml/m2) EDV 66.8 (ml)<br>
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<P><FONT face="Times New Roman">CO 3.42(L/min) SV 36.5(ml)<br>
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8 X/ {6 z: @% K8 H<P>检查所见<FONT face="Times New Roman">:</FONT></P>; |% k9 e6 n2 N u- d8 z( v
<P>心脏扩大<FONT face="Times New Roman">,</FONT>以心房为著，室前壁增厚。大血管位置正常，肺动脉内径增宽。室间隔及左室后壁呈逆向运动，厚度及搏幅正常，未见节段性室壁运动异常，室间隔连续完整。房间隔中部卵圆窝部位可探及一彩宽约<FONT face="Times New Roman">3mm</FONT>的左向右穿隔血流信号。主动脉瓣形态反射正常，搏幅正常，启闭佳。二尖瓣前瓣回声略增强，搏幅尚可，启闭欠佳。三尖瓣形态反射正常，启闭欠佳。肺动脉瓣形态反射正常，启闭欠佳。心包厚度约<FONT face="Times New Roman">2mm</FONT>，回声增强，其内可见液性分离，左室后壁后<FONT face="Times New Roman">:5/2mm(S/D) </FONT>。彩色多谱勒探及<FONT face="Times New Roman">:</FONT>二尖瓣反向收缩期蓝色血液<FONT face="Times New Roman">,</FONT>流速为<FONT face="Times New Roman">:3.88m/s,</FONT>压力为<FONT face="Times New Roman">:60.2 mmHg</FONT>。三尖瓣反向收缩期蓝色血液<FONT face="Times New Roman">,</FONT>流速为<FONT face="Times New Roman">:4.18m/s,</FONT>压力为<FONT face="Times New Roman">:69.9mmHg</FONT>。估测肺动脉压约为<FONT face="Times New Roman">:80mmHg</FONT>。肺动脉瓣正向舒张期红色血液<FONT face="Times New Roman">,</FONT>流速为<FONT face="Times New Roman">:3.2m/s,</FONT>压力为<FONT face="Times New Roman">40mmHg</FONT>。辛普森法则<FONT face="Times New Roman">EF</FONT>为<FONT face="Times New Roman">60.3%</FONT>。</P>
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" c; ^* r( C( A1 h i<P>检查结论</P>
3 ?- {0 }% Q, p- r o) j- ]; a0 k<P><FONT face="Times New Roman">1. </FONT>心脏扩大<FONT face="Times New Roman">,</FONT>以心房为著</P>% c. i* N2 h) Z; u; ^7 g, h
<P><FONT face="Times New Roman">2. </FONT>肺动脉高压<FONT face="Times New Roman">(</FONT>重度<FONT face="Times New Roman">)</FONT>多考虑原发性肺高压</P>
1 w2 ?1 F1 Q7 D5 w8 K<P><FONT face="Times New Roman">3. </FONT>卵圆孔未闭<FONT face="Times New Roman">(</FONT>房水平左向右分流<FONT face="Times New Roman">)</FONT></P>
; z5 l% u& O% W% f<P><FONT face="Times New Roman">4. </FONT>二、三尖瓣反流<FONT face="Times New Roman">(</FONT>中度<FONT face="Times New Roman">)</FONT></P>7 k3 {1 T; p9 I
<P><FONT face="Times New Roman">5. </FONT>肺动脉瓣反流<FONT face="Times New Roman">(</FONT>轻度<FONT face="Times New Roman">)</FONT></P>) e8 Y3 T- O7 y5 I4 G
<P><FONT face="Times New Roman">6. </FONT>心包积液<FONT face="Times New Roman">(</FONT>少量<FONT face="Times New Roman">)</FONT></P>
9 S0 }8 E! `! x, ?' t0 X<P><FONT face="Times New Roman">7. </FONT>左心收缩功能正常<FONT face="Times New Roman">(</FONT>供参考<FONT face="Times New Roman">)</FONT></P>
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<P><FONT face="Times New Roman"> 孩子是双胞胎中的老二，体重11公斤，做超声前得过急性肾炎，最近得过一次肺炎,已愈,平日精神良好,安静时心率93,呼吸率35。无紫绀、浮肿，如果不是得病时的情景比较吓人，几乎就跟正常儿童一样，兰州的医师对x光片及彩超的结论不一，但均认为很复杂，有医师认为，原发性肺动脉高压不会导致左心扩大，所以<U>原发性肺动脉高压</U>的可能不大吧？我计划最近来上海，请上海儿童医学中心的专家先就病症做个大致的推断，能否做手术，要否立即做手术，并估计手术费用需花多少。</FONT></P>[em06]<br>[em03][em03][em03][em03]5 j/ w% ?' ?) x1 _
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发表于 2006-5-12 23:39:47
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发表于 2006-5-13 06:22:25
