彩超报告

琳琳

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 10.5pt; mso-char-indent-count: 1.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">女</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&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;;">现</span><span lang="EN-US"><font face="Times New Roman">2</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;;">岁</span><span lang="EN-US"><font face="Times New Roman">1</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;;">个月</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;;">体重：</span><span lang="EN-US"><font face="Times New Roman">22</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;;">公斤</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;;">超声测值：</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;;">二维及</span><span lang="EN-US"><font face="Times New Roman">M</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;;">型超声测值（径线测值</span><span lang="EN-US"><font face="Times New Roman">mm,</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">cm2</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></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LV<span style="mso-spacerun: yes;">&nbsp; </span>43/27<span style="mso-spacerun: yes;">&nbsp; </span>LA<span style="mso-spacerun: yes;">&nbsp; </span>26<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>RV 16<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>RA<span style="mso-spacerun: yes;">&nbsp; </span>23*26<span style="mso-spacerun: yes;">&nbsp; </span>LVS 4<span style="mso-spacerun: yes;">&nbsp; </span>LVPW 5</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AAO 20<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>MPA<span style="mso-spacerun: yes;">&nbsp; </span>14<span style="mso-spacerun: yes;">&nbsp; </span></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;;">频谱多普勒</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;;">速度</span><span lang="EN-US"><font face="Times New Roman">m/s</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;;">，压差</span><span lang="EN-US"><font face="Times New Roman">mmHg)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Mve<span style="mso-spacerun: yes;">&nbsp; </span>1.23<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>MVa 0.81<span style="mso-spacerun: yes;">&nbsp; </span>AV 1.62<span style="mso-spacerun: yes;">&nbsp; </span>PV 1.26</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;;">心功能</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EDD 43mm<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ESD<span style="mso-spacerun: yes;">&nbsp; </span>27mm<span style="mso-spacerun: yes;">&nbsp; </span>FS 37%</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;;">超声所见：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左房室增大，右室稍增大，右房大小正常。主、肺动脉增宽。室间隔连续。室间隔及左室后壁厚度及搏幅正常。各瓣膜形态、结构及运动未见明显异常。右冠状动脉起源于右冠状动脉窦，明显扩张，起始部开口处内径约</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;;">，可追踪探查到沿右房室沟行走并扩张的右冠状动脉，于右室游离壁基底部三尖瓣后瓣下方开口于右室，瘘口宽约</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;;">；左冠状动脉内径正常为</span><span lang="EN-US"><font face="Times New Roman">3MM</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;;">。主动脉弓降部发育未见异常。心包腔内未见积液征象。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">多普勒检测：于右冠状动脉瘘口处探及连续性右冠状动脉向右室分流束，舒张期最大血流</span><span lang="EN-US"><font face="Times New Roman">Vmzx=4.4m/s</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;;">。房间隔中份卵圆窝处探及微量左向右分流。室水平及大血管水平未见明显分流。二尖瓣上探及少量反流，余瓣膜口两侧未探及异常血流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声诊断：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">先天性右冠状动脉</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;;">右室瘘</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">卵圆孔未闭，房水平微量左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">请问：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">1、现在的情况要马上手术吗？如不手术会有什么后果？</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">2、最佳手术时间是多大？手术费用大概多少？</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">3、能否介入？费用多少？</span></p>

陆医生

您好；<br/>&nbsp;&nbsp;&nbsp; 建议及早手术治疗，否则可能会出现心脏缺血表现，费用3万元左右，不建议介入治疗。

琳琳

<p>谢谢!</p><p>我想再请问题一下:</p><p>&nbsp;&nbsp; 3万元手术费包括<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">卵圆孔未闭的治疗吗？因为我听说过“<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">卵圆孔未闭可以不用治疗”的说法，能不能只做“<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">先天性右冠状动脉</span><span lang="EN-US"><font face="Times New Roman">----</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">右室瘘”的治疗？</span></span></span></p><p></p>

陆医生

如果手术的话，手术中会顺便把卵圆孔关闭的，费用包括两项。

娱乐

<p>介入封堵仅适合于极少的病例．对于瘘口比较大，临近于重要冠状动脉的瘘口不适合介入．</p><p>本病一经确诊，需尽快手术，有５％的机会感染心内膜炎．</p><p>三万元费用包括两项．</p>