[求助]我的女儿有自愈的可能吗?

kekem

您好,我的女儿现在出生85天,60天时所做彩超描述如下:<br/>1.各心腔内径正常<br/>2.房间隔中断可见一约2MM的回声脱失,&nbsp;&nbsp; 室间隔延续中断,于膜周部可探及一回声脱失,测左室面约5MM,右室面约2MM<br/>3.各心瓣膜形态.结构未见异常.CDFI:房室水平均可探及左向右分流信号,右室流出道内可探及舒张期少量返流束,三尖瓣环房侧见收缩期少量返流束.<br/>4.主动脉根部内径正常,运动幅度正常<br/>我想请教的是;1.我的女儿这种情况自愈的可能性有多大?<br/>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2.我在一些网页上看到先心病也可药物治疗http://www.healthcn.net/disease/1/3/4/200512/20051228143228.html说:经药物治疗后，缺口关闭率高达74.3%，远比自然关闭(未经药物治疗的关闭14%～30%)要高。不知道是不是真的?如果是的话,应该用什么药物?怎样治疗?<br/>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3.如果不能自愈的话,那应该做介入还是开胸的手术?孩子多大的时候做才比较好?<br/>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4.这种情况对孩子的生长发育是否有影响?能不能和别的孩子一样打预防针?<br/>急切的希望得到您的帮助.<br/>谢谢!<br/>

陆医生

<p>您好：建议半岁复查后再说吧，可以正常预防接种。</p>

kekem

<p>你好, 再次麻烦您.我女儿6个月,体重约6KG,彩超复查的结果如下:</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声所见</span><span lang="EN-US"><font face="Times New Roman">:</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主动脉</span><span lang="EN-US"><font face="Times New Roman">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">发自左室</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">窦部</span><span lang="EN-US"><font face="Times New Roman">11MM<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">肺动脉</span><span lang="EN-US"><font face="Times New Roman">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">发自右室</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主干</span><span lang="EN-US"><font face="Times New Roman">13MM</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">室间隔</span><span lang="EN-US"><font face="Times New Roman">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">厚度</span><span lang="EN-US"><font face="Times New Roman">5MM</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左心房</span><span lang="EN-US"><font face="Times New Roman">: </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">（前后、左右）</span><span lang="EN-US"><font face="Times New Roman">13/19MM<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">右心房</span><span lang="EN-US"><font face="Times New Roman">: </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">（左右）</span><span lang="EN-US"><font face="Times New Roman">17MM</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">右心室</span><span lang="EN-US"><font face="Times New Roman">: </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">（前后、左右）</span><span lang="EN-US"><font face="Times New Roman">11/16MM</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左心室</span><span lang="EN-US"><font face="Times New Roman">: </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">（前后、左右、长径）</span><span lang="EN-US"><font face="Times New Roman">S/D</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">：</span><span lang="EN-US"><font face="Times New Roman">13/27MM</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">、</span><span lang="EN-US"><font face="Times New Roman">14/28MM</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">、</span><span lang="EN-US"><font face="Times New Roman">31/38MM</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EF</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">：</span><span lang="EN-US"><font face="Times New Roman">80%<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>FS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">：</span><span lang="EN-US"><font face="Times New Roman">51%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US"><font face="Times New Roman">1、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">多切面示：室间隔膜周部回声失落，断端回声增强，测缺损口左室面大小为</span><span lang="EN-US"><font face="Times New Roman">9MM</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">；受三尖瓣隔瓣及瓣下腱索遮挡部分缺损口，测右室面分流口大小为</span><span lang="EN-US"><font face="Times New Roman">4MM</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">。彩色血流示：室水平左向右分流，长度</span><span lang="EN-US"><font face="Times New Roman">2.1CM,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">面积</span><span lang="EN-US"><font face="Times New Roman">1.6 CM</font></span><span style="FONT-FAMILY: 宋体;">&sup2;</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">容积</span><span lang="EN-US"><font face="Times New Roman">0.9ML,Vmax398cm/s,Pgmax64mmHg.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US"><font face="Times New Roman">2、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">剑下两腔切面示：第一、第二房间隔呈“搭错”样改变。彩色血流示：房水平左向右分流：长度</span><span lang="EN-US"><font face="Times New Roman">0.5CM,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">面积</span><span lang="EN-US"><font face="Times New Roman">0.2CM</font></span><span style="FONT-FAMILY: 宋体;">&sup2;<span lang="EN-US">,容积0.1ML.</span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US"><font face="Times New Roman">3、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体;">左房、左室大，余心腔大小及大血管内径正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US"><font face="Times New Roman">4、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体;">室壁运动分析：室间隔及左室各壁室壁厚度、回声、运动幅度未见异常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US"><font face="Times New Roman">5、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体;">各瓣膜厚度、弹性、开放幅度未见异常，彩色血流未见异常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 宋体;">&nbsp;<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体;">超声提示：<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体;">先天性心脏病：室间隔缺损（膜周部）；卵圆孔未闭；左室收缩功能正常；<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体;">彩色血流示：室水平左向右分流；房水平左向右分流</span></p><p>这次的复查结果似乎没有房缺的大小,是不是房缺很小的缘故?室缺的比以前要大了,是不是我宝宝的自愈可能性不大了?还可以做正常预防接种吗?这种情况等孩子大点能不能做介入?介入的手术有没有体重的要求?</p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 室间隔缺损看起来比以前还要大，建议考虑及早手术治疗，房间隔缺损还是存在的。

kekem

<p>您好,因为两次的彩超不是一个医院做了,感觉差别很大,</p><p>我宝宝到现在共感冒过一次,所以这次的医生建议我们,如果孩子好带就再等等,到三岁以后了可介入.,毕竟是女孩子介入的伤口好些.</p><p>真是很矛盾,这种情况等着会影响发育吗?早做肯定是要开胸吗?能不能腋下开?</p>

陆医生

<p>既然这样，何不到我们这里明确一下诊断，看看缺损到底多大？</p>

kekem

唉!我也很希望能到贵院来查一下,可是路太远了很不方便,多谢ADMIN不厌其烦的回答,我想彩超上面没有肺动脉高压的情况,应该可以再等等吧[em06]

陆医生

目前看起来没有肺动脉高压。