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<P >宝宝在<FONT face="Times New Roman">3</FONT>个半月时心超发现<FONT face="Times New Roman">:<p></p></FONT></P>
: z5 h2 k5 T: G; Y% {! h8 F<P >一、普通心脏<FONT face="Times New Roman">M</FONT>型超声可检查：<p></p></P>+ f( V ^1 m; C6 _
<P >主动脉末期根部内径<FONT face="Times New Roman">10mm, </FONT>左室舒张末期内径<FONT face="Times New Roman">20mm, </FONT>收缩末期左室后壁<FONT face="Times New Roman">5mm;<p></p></FONT></P>& N' D1 @# A0 h# G4 }" Q& S
<P >左房内径<FONT face="Times New Roman">13mm, </FONT>左室收末期内径<FONT face="Times New Roman">13mm,<p></p></FONT></P>! M$ K4 ?# h7 ~
<P >室间隔<FONT face="Times New Roman">3.2mm, </FONT>舒张末期左室后壁<FONT face="Times New Roman">3mm</FONT>；<p></p></P>
, F5 i7 W/ v' \0 E; Z" t; @<P >二、普通二维超声心动图和彩色多普勒超声检查：<p></p></P>
+ v: I5 Q# q: J/ J. w) U<P >主肺动脉内径<FONT face="Times New Roman">12mm,<p></p></FONT></P>+ I( h* o9 n9 w
<P >三、左心功能及血液动力学测定：<p></p></P># e8 D0 u: ?* l0 v _. m& X! |
<P >左室舒张末期容量<FONT face="Times New Roman">13ml</FONT>，左室收缩末期容量<FONT face="Times New Roman">3.9ml</FONT>， 每博量<FONT face="Times New Roman">9.4ml</FONT>；<p></p></P>
' j% g% F, r$ H0 E* [) t% F<P >左室短轴缩短率<FONT face="Times New Roman">38%</FONT>，左室射血分数<FONT face="Times New Roman">71%, </FONT>心输出量<FONT face="Times New Roman">1.1L/</FONT>分<FONT face="Times New Roman">;<p></p></FONT></P># M% f( K7 I; M' A& W
<P >二尖瓣<FONT face="Times New Roman">E</FONT>峰<FONT face="Times New Roman">0.95,</FONT> <FONT face="Times New Roman"> </FONT>二尖瓣<FONT face="Times New Roman">A</FONT>峰<FONT face="Times New Roman">0.56, </FONT>三尖瓣<FONT face="Times New Roman">E</FONT>峰<FONT face="Times New Roman">0.95</FONT>；<p></p></P>
Q4 V) @9 Z+ w<P >三尖瓣<FONT face="Times New Roman">A</FONT>峰<FONT face="Times New Roman">0.6, </FONT>主动脉流速<FONT face="Times New Roman">0.96, </FONT>肺动脉流速<FONT face="Times New Roman">0.8</FONT>；<p></p></P>$ s2 I: b3 Q5 h- E/ D
<P >描述<FONT face="Times New Roman">:1</FONT>、心脏位置及大血管连接关系正常。左位主动脉弓。 <p></p></P>
0 a7 A( I3 c5 T# L; \4 f; l( Z<P ><FONT face="Times New Roman">2</FONT>、各房室内径尚属正常范围。<p></p></P>
0 Q/ u' l3 h+ v3 ^! n+ n<P ><FONT face="Times New Roman">3</FONT>、室间隔于膜部流入道回声失落伴膜部瘤初步形成，其基底部回声失落<FONT face="Times New Roman">4mm</FONT>，<p></p></P>, K# T& H+ t# G: A% I: v0 \1 X
<P > 顶端开口<FONT face="Times New Roman">2mm</FONT>，<FONT face="Times New Roman">CFM</FONT>探及收缩期左向右分流讯号。<p></p></P>4 x2 n- g C' w% T5 A; D7 C& r2 E% y
<P ><FONT face="Times New Roman">4</FONT>、房间隔无明显回声失落，<FONT face="Times New Roman">CFM</FONT>未探及心房水来分流讯号。<p></p></P> C2 F, L0 F ]
<P ><FONT face="Times New Roman">5</FONT>、肺动脉内径可，肺动脉瓣形态活动无特殊，<FONT face="Times New Roman">PDE</FONT>测肺动脉口流速<FONT face="Times New Roman">0.8m/s</FONT>层流频谱。<p></p></P>
+ r+ e! h, O5 e2 C1 R4 |2 J<P ><FONT face="Times New Roman">6</FONT>、二、三尖瓣形态活动可，多普勒在三尖瓣上游探及轻度反流。<p></p></P>
& Q7 F4 i# m$ M4 l<P >结论：室间隔缺损（膜部流入道）<p></p></P>
2 Y6 h* b* V! Z, n<P ><FONT face="Times New Roman"> <p></p></FONT></P>) `1 @# V' Z; {. |2 S
<P >请问医生<FONT face="Times New Roman">:<p></p></FONT></P>; E/ U- W4 a7 z/ M) n2 h
<P ><FONT face="Times New Roman">1、 </FONT>我宝宝现在<FONT face="Times New Roman">4</FONT>个月<FONT face="Times New Roman">,</FONT>室间隔缺损自已长好的机会有多大？一般需要多少时间能长好<FONT face="Times New Roman">?</FONT>如果长不好<FONT face="Times New Roman">,</FONT>必须要做动术吗<FONT face="Times New Roman">?</FONT>这种心脏病严重吗？<p></p></P>, c/ i0 z9 l5 F# W8 Y
<P ><FONT face="Times New Roman">2、 </FONT>是否可以打预防针，如：乙肝疫苗，白百破，乙脑疫苗，<FONT face="Times New Roman">A</FONT>群流脑疫苗<FONT face="Times New Roman">.</FONT>因为我们就诊时专家说打预防针容易发烧<FONT face="Times New Roman">,</FONT>所以让我们停止打预防针<FONT face="Times New Roman">,</FONT>但是这样一停会漏很多针的<FONT face="Times New Roman">,</FONT>所以我现在不知道到底要打还是不打<FONT face="Times New Roman">?<p></p></FONT></P>& A1 P* U, {0 q9 r- L" t6 _: P
<P ><FONT face="Times New Roman"> <p></p></FONT></P>. g( B. Z, y0 w9 X/ Q) W
<P >急切盼望你们的回信，谢谢。<p></p></P> |
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IP卡
发表于 2006-6-15 23:25:28
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千斤顶
发表于 2006-6-16 00:16:16
