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[求助]10个月小儿房间隔缺损求助

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发表于 2006-12-5 08:22:03 | 显示全部楼层 |阅读模式
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">我儿子2006年2月9日出生,现在体重:13KG,身高:77,因孩子发烧住院,在做例行检查时发现心脏早搏,后做B超于2006年11月21日查出房间隔缺损,在此前就是孩子易感冒,其他没发现有撒不正常的地方,现在早搏也没有了。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">请在百忙中予以解答万分感激。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"></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;;">检查描述:</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><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;;">测值结果:</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;;">超经线(</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;;">)―――主动脉(窦部):</span><span lang="EN-US"><font face="Times New Roman">17<span style="mso-spacerun: yes;">&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;;">(环部):</span><span lang="EN-US"><font face="Times New Roman">12</font></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:</span><span lang="EN-US"><font face="Times New Roman">18<span style="mso-spacerun: yes;">&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;;">左室舒末:</span><span lang="EN-US"><font face="Times New Roman">27<span style="mso-spacerun: yes;">&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;;">缩末:</span><span lang="EN-US"><font face="Times New Roman">20<span style="mso-spacerun: yes;">&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;;">室间隔:</span><span lang="EN-US"><font face="Times New Roman">5<span style="mso-spacerun: yes;">&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;;">后壁:</span><span lang="EN-US"><font face="Times New Roman">5</font></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;;">右室流出道:</span><span lang="EN-US"><font face="Times New Roman">15<span style="mso-spacerun: yes;">&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;;">右室:</span><span lang="EN-US"><font face="Times New Roman">12<span style="mso-spacerun: yes;">&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;;">右房:</span><span lang="EN-US"><font face="Times New Roman">23<span style="mso-spacerun: yes;">&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">18</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;;">多普勒结果(</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;;">)―――</span><span lang="EN-US"><font face="Times New Roman">MV-E:0.81<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>MV-</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">0.69</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman">MR</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">1<sub>&shy;&shy;_</sub><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>TR:1<sub>_<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span></sub></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">R</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;;">:<sub>—</sub></span><font face="Times New Roman"><sub><br/>&nbsp;&nbsp;&nbsp;</sub><span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp;&nbsp;</span>PR</span></font><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">1<sub>&shy;</sub></font></span><sub><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><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></sub><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;</font></span></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;;">心功能测定:</span><span lang="EN-US"><font face="Times New Roman">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">28.79<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>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">57<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>SV</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">ml</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">15.97</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>Co</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">L/min</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">1.70</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;;">心脏正位,心房正位,心室右袢。各房室腔均不大,右室流出道增宽。房间隔继发孔可见-</span><span lang="EN-US"><font face="Times New Roman">3.7mm</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;;">的回声失落区,并可见房水平右向左分流。左室壁及室间隔心肌未见肥厚,室壁增厚率正常,静息状态下心肌未见节段性运动减弱。二尖瓣舒张期血流频谱示</span><span lang="EN-US"><font face="Times New Roman">E</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;;">峰>∧峰,二尖瓣口可检出收缩期反流,范围小。三尖瓣未见下移畸形,瓣口可检出收缩期反流,范围小。室间隔回声连续无中断,多普勒超声未见室水平分流。大血管连接走向正常,</span><span lang="EN-US"><font face="Times New Roman">CDFI</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;;">未见大血管水平分流。升主动脉内劲约</span><span lang="EN-US"><font face="Times New Roman">22mm</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;;">。心包回声正常,心包腔未见液性暗区。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">请问</span><span lang="EN-US"><font face="Times New Roman">: </font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 39.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo3; tab-stops: list 39.75pt;"><span lang="EN-US" style="mso-fareast-font-family: 'times new roman';"><span style="mso-list: ignore;"><font face="Times New Roman">1.<span style="FONT: 7pt ';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">有无自愈可能</span><span lang="EN-US"><font face="Times New Roman">?</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 39.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo3; tab-stops: list 39.75pt;"><span lang="EN-US" style="mso-fareast-font-family: 'times new roman';"><span style="mso-list: ignore;"><font face="Times New Roman">2.<span style="FONT: 7pt ';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">如需手术</span><span lang="EN-US"><font face="Times New Roman">, </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">什么时候最佳</span><span lang="EN-US"><font face="Times New Roman">? </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">费用多少</span><span lang="EN-US"><font face="Times New Roman">?</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 39.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo3; tab-stops: list 39.75pt;"><span lang="EN-US" style="mso-fareast-font-family: 'times new roman';"><span style="mso-list: ignore;"><font face="Times New Roman">3.<span style="FONT: 7pt ';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">目前应特别注意那些方面</span><span lang="EN-US"><font face="Times New Roman">?</font></span></p><br/><br/><br/>
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发表于 2006-12-5 16:53:23 | 显示全部楼层
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发表于 2006-12-6 00:11:05 | 显示全部楼层
10个月重13公斤,是个小胖子啊,同意2楼意见。
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