[求助]房缺+室缺+肺动脉狭窄

翔翔妈

<p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">陆医生</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">:</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">您好</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">我儿子出生体重</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">:7.2</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">斤</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">身高</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">50</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">厘米</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">满月重</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">9</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">斤</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">身高</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">55.5</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">厘米</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">现在</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">60</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">天</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">体重大约</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">10</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">斤多点一直未患感冒</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.<p></p></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">帮我看看我儿子的</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">29</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">天的彩超报告吧</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.(</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">四川华西附二院</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">)<p></p></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">超声所见</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">:</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">各房室大小正常</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">主动脉内径正常</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">;</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">肺动脉主干未见增宽</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">房间隔连续</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">;</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">室间隔回声中断</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">5MM,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">缺损位于肺动脉瓣下</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">肺动脉稍增厚</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">开放稍差</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">关闭尚可</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">余瓣膜形态</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">\</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">结构及活动未见异常</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">室间隔与左室后壁厚度几博幅正常</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">主动脉弓降部发育正常</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">未见心包积液声像</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.<p></p></span></p><p><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">彩色多普勒超声</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">:</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">室水平探及左向右分流</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,Vmax=<chmetcnv wst="on" unitname="m" sourcevalue="3.5" hasspace="False" negative="False" numbertype="1" tcsc="0">3.5m</chmetcnv>/s,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">卵圆孔处探及束宽</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="2" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2MM</span></chmetcnv><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">左向右低速分流</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">肺动脉前向血流加速</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,Vmax=<chmetcnv wst="on" unitname="m" sourcevalue="2.9" hasspace="False" negative="False" numbertype="1" tcsc="0">2.9m</chmetcnv>/s,</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">余瓣口两侧未探及明显异常血流</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.<p></p></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">检查结论</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">:<p></p></span></p><p><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">先天性心脏病</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">室间隔缺损</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">(</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">干下型</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">)</span><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">室水平左向右分流</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">肺动脉狭窄</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">(</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">轻度</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">)<p></p></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">卵圆孔未闭房水平左向右分流</font></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">陆医生谢谢你的答复.我还想请教几个问题:</font></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">1.请问半岁前做手术危险吗?成功率大约有多少?</font></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">2.手术的费用是多少?</font></span></p><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;"><font face="宋体">3.做手术前能打疫苗针吗?</font></span></p>

陆医生

手术费用3万元左右，术前疫苗建议暂停。

翔翔妈

<p>陆医生:您好.我准备在儿子4个月的时候做手术,请问</p><p>1.这种是复杂的先心病手术还是简单的先心病手术,手术时间大约有多长?</p><p>2.室缺干下型这种情况容易引起瓣膜损伤,现在孩子2个月大,到4个月的时候他的瓣膜受到损伤的可能性有多大?</p><p>喂养时有特别需要注意的吗?</p><p>谢谢</p><p></p>

陆医生

简单先心病，是否波及主动脉瓣，要看超声结果，空说无用。

翔翔妈

<p>您好请问:</p><p>1.孩子有肺动脉狭窄轻度会转成重度吗?一次手术能根治吗?</p><p>2.手术后小孩的生长发育会受影响吗?</p>

翔翔妈

顶一下

翔翔妈

<p>您好请问:</p><p>1.孩子有肺动脉狭窄轻度会转成重度吗?一次手术能根治吗?</p><p>2.手术后小孩的生长发育会受影响吗?</p>

陆医生

肺动脉狭窄程度变化无法预测，一次手术可以根治。

翔翔妈

<p>您好:听说小孩在半岁之前做手术风险较大,容易引起并发症是否如此?是不是岁数大点安全系数高些?</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 做这种外科手术对孩子的体重有没有要求?</p>

陆医生

手术时机跟年龄和体重无关，关键是要看病情。