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<P align=center><B>房缺</B><B><FONT face="Times New Roman">+</FONT></B><B>室缺</B><B><FONT face="Times New Roman"> </FONT></B><B>求助</B><B>3 v7 p- M" E: k
<br></B>
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3 B7 ^0 h" M; y; G- V5 \( H* h<P>各位专家好：</P>' L2 S/ X6 l9 W8 N
<P><B>我宝宝</B><B><FONT face="Times New Roman">1</FONT></B><B>个半月在杭州儿童医院做彩超情况如下</B>：</P>
7 w' g n, e8 l$ C' o# |<P><FONT face="Times New Roman">M</FONT>型测量（<FONT face="Times New Roman">CM</FONT>）</P>
; b; r, Z! Y4 N<P><FONT face="Times New Roman">AO1.1 LA 1.2 LV 2.2</FONT></P>6 L2 g( }9 G* C# F2 f% |
<P>二维检查：</P>
+ Z. X9 I% l0 C5 x0 X<P><FONT face="Times New Roman">1、 </FONT>胸旁长轴、短轴及四腔切面可探及室间隔回声中断<B><FONT face="Times New Roman">0.7CM</FONT></B><B>，位膜部</B>。</P>* B; N: Q0 s o( p2 [( q
<P><FONT face="Times New Roman">2、 </FONT>剑下及心尖四腔切面：房间隔回声中断<FONT face="Times New Roman">0.55CM</FONT>，位继发孔，左房内见肺静脉汇入。</P>+ x' @* R8 j2 c5 S1 ^
<P>脉冲多普勒：</P>4 s( ^5 N g, ?% n/ w$ g
<P>胸旁长轴、短轴及四腔切面：<FONT face="Times New Roman">SV</FONT>置于室间隔缺陨处见收缩期向上湍流频谱，峰值流速<FONT face="Times New Roman">2.78M/S</FONT>，压差<FONT face="Times New Roman">31mmHg. </FONT>剑下及心尖四腔切面<FONT face="Times New Roman">: SV</FONT>置于房间隔处见舒张期为主向上湍流频谱。心尖四腔切面：<FONT face="Times New Roman">SV</FONT>置于三尖瓣口右房侧见收缩期向下湍流频谱，峰值流速<FONT face="Times New Roman">4.28M/S</FONT>，跨瓣压差<FONT face="Times New Roman">73.25mmHg.</FONT>肺动脉峰值流速<FONT face="Times New Roman">0.83M/S,</FONT>主动脉峰值流速<FONT face="Times New Roman">1.1M/S</FONT>。</P>0 w& V6 n. D7 B2 Z9 d
<P>彩色多普勒：</P>
* ~) f" P& R H% y6 z! [6 [3 C<P>胸旁左室长轴切面，胸旁及心尖四腔切面见室间隔水平五彩镶嵌血流束从左室入右室。剑下及心尖四腔切面见房间隔水平红色血流束从左房入右房。胸旁及心尖四腔切面三尖瓣水平见蓝色血流束从右室入右房。</P>
n. @- N T# _ e4 ]<P>肺循环血流动力学：肺动脉<FONT face="Times New Roman">VTI 25.4CM </FONT>主动脉<FONT face="Times New Roman">VTI 13.58CM QP/QS2.44</FONT></P>
# H& T$ Z* X% l: J<P>结论：室间隔缺陨（膜部，<B><FONT face="Times New Roman">0.7CM</FONT></B>）</P>. i: E9 {; L0 w6 Z$ M- s4 F8 E9 N G
<P>房间隔缺陨（继发孔<B><FONT face="Times New Roman">0.55CM</FONT></B>）</P>; `( R. v, Z# t) `1 X5 A, @: @0 ^4 ]" R
<P>肺动脉高压</P>
8 g. _0 [8 j5 i. l7 Y0 d<P>三尖瓣轻度返流</P>7 Z0 X% T- B1 p+ g+ \$ ]
<P><B><FONT face="Times New Roman">3</FONT></B><B>个半月时</B><B>彩超情况如下：</B><B>
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<P><FONT face="Times New Roman">M</FONT>型测量（<FONT face="Times New Roman">CM</FONT>）</P>+ m) u! _0 g& N+ y& R4 u
<P><FONT face="Times New Roman">AO1.2 LA 1.3 LV 3</FONT></P>) b$ a( f7 M( [8 j* |. n) s' X' u- e2 N
<P>二维检查：</P>9 U# q/ h. P: B. m
<P><FONT face="Times New Roman">3、 </FONT>胸旁长轴、短轴及四腔切面可探及室间隔回声中断<B><FONT face="Times New Roman">0.8M</FONT></B><B>，位膜周部</B>。</P> p4 k+ G3 Z& n% A6 p8 W
<P><FONT face="Times New Roman">4、 </FONT>剑下及心尖四腔切面：房间隔回声中断<FONT face="Times New Roman">0.5CM</FONT>，位继发孔，左房内见肺静脉汇入。</P>& E2 T: h0 R2 ~+ q
<P>脉冲多普勒：</P>
5 S1 @1 `: s+ K<P>胸旁长轴、短轴及四腔切面：<FONT face="Times New Roman">SV</FONT>置于室间隔缺陨处见收缩期向上湍流频谱，峰值流速<FONT face="Times New Roman">1.38M/S</FONT>，主动肺峰值流速<FONT face="Times New Roman">1.1M/S. </FONT>剑下及心尖四腔切面<FONT face="Times New Roman">: SV</FONT>置于房间隔处见舒张期为主向上湍流频谱。心尖四腔切面：<FONT face="Times New Roman">SV</FONT>置于三尖瓣口右房侧见收缩期向下湍流频谱，峰值流速<FONT face="Times New Roman">3.7M/S</FONT>，跨瓣压差<FONT face="Times New Roman">56mmHg.</FONT></P>: b1 a ^3 ~% t, s" v a
<P>彩色多普勒：</P>
1 j! C. O& @1 s a- O<P>胸旁左室长轴切面，胸旁及心尖四腔切面见室间隔水平五彩镶嵌血流束从左室入右室。剑下及心尖四腔切面见房间隔水平红色血流束从左房入右房。胸旁及心尖四腔切面三尖瓣水平见蓝色血流束从右室入右房。</P>& D) P5 ~; ]7 O6 ?
<P>肺循环血流动力学：肺动脉<FONT face="Times New Roman">VTI14.3CM </FONT>主动脉<FONT face="Times New Roman">VTI 8.6CM QP/QS 1.88</FONT></P>
+ z9 l% ^6 a; e<P>结论：室间隔缺陨（膜周部，<FONT face="Times New Roman">0.8CM</FONT>）</P>4 @+ Y- m5 Z4 g7 U; c
<P>房间隔缺陨（继发孔<FONT face="Times New Roman">0.5CM</FONT>）</P>( `3 c. |1 y* N C3 X
<P>肺动脉高压</P>
% L' p5 p, @# {- a: _- A<P>三尖瓣轻度返流</P>
" G# m$ D/ \" j3 V/ ]0 u<P><B>问题：</B><B><FONT face="Times New Roman">1</FONT></B><B>、我宝宝有没有自愈的可能呢？</B><B>
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<P><B><FONT face="Times New Roman">2</FONT></B><B>：肺高压是否是严重了？</B><B>" [ T- S/ V& Y2 F' Q
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<P><B><FONT face="Times New Roman">3</FONT></B><B>．如需动手术何时比较适合，费用多少？</B></P>
( F1 @$ A; D& z" L<P><B>谢谢请你们帮助一位心急的妈妈!!</B></P>
U& R: \* O+ p% E4 t2 q<P><B></B></P>0 e- U9 p+ D* O" z/ G
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<P><FONT face="Times New Roman">
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<P><FONT face="Times New Roman">5 n6 J4 r3 Z3 s+ B4 F: |
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. r w, M* R, O+ H; a$ ~<p>增加我宝宝现在4个月,体重5.5公斤
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