[求助]请贵院大夫诊断，室。房。肺狭窄

hesiyu2006

<strong><br/></strong><table class="tableborder1" cellspacing="1" cellpadding="3" align="center"><tbody><tr><td class="tablebody1"><pre><p>得到这消息全家都少了以往的笑脸，贵院的大夫看看严重吗？我那家医院的医师也推荐到＂上儿中院＂，我想等孩子大些再去毕竟才５０多天．</p><br/><p>　　孩子大哭时没有发紫的状况，目前还没感冒过，比出生时重了３斤了．</p><br/><p>　　我们该怎么办。请医师诊断。。。。。</p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 浙江台州医院心电图检查报告单</span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">主动脉；１１mm<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>左室腔（D）；20mm<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EF:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>69%<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">左心房：１２mm　　　左室腔（s）:13mm<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FS:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>36%<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">室间隔（D）4.5mm<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>主动脉瓣：127cm/s<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>HR:<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>/　　次／分<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">左室后壁（D）:4.1mm<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>肺动脉瓣：391 cm/s<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">超声描述：<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">　　心脏位置及连接正常，右房.右室扩大，肺瓣狭窄，瓣环内径约6mm，主肺动脉内径约10mm，<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">右肺动脉内径约5mm，左肺动脉内径约6mm，余各心瓣膜形态.回声.活动无殊。房缺继发孔中央<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">型约7.3mm。室缺膜周流入道型约5.9mm，室壁厚度运动可，左位主动脉弓。心房水平左向右分流<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">。心室水平见左向右分流。最大分流速约289cm/s。彩色多普勒检查示三尖瓣中度反流。连续多<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">普勒据三尖瓣反流估测肺动脉收缩压为67mmHg。<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">超声提示：<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">　　先心：室间隔缺损<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">　　　　　房间隔缺损<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">　　　　　肺瓣狭窄<p></p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;"><p>&nbsp;</p></span></p><br/><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-layout-grid-align: none;"><span style="FONT-SIZE: 10pt; FONT-FAMILY: 宋体; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-ansi-language: ZH-CN;">　　　　　肺动脉高压<p></p></span></p></pre></td></tr></tbody></table>

陆医生

小孩多大？

hesiyu2006

<p>哦，已50天了，身高56CM，体重9.5斤，头围36CM。</p>

陆医生

缺损还是比较大的，建议1岁左右考虑手术治疗。

hesiyu2006

<p>谢谢您的诊断！请问孩子哭时喂奶做超声准吗？多少时间后复查超声为好？<span lang="EN-US" style="mso-bidi-font-family: &quot;Times New Roman&quot;;"><p></p></span></p><p>在这<span lang="EN-US">1</span>年里我们要注意预防什么吗？感谢答复<span lang="EN-US" style="mso-bidi-font-family: &quot;Times New Roman&quot;;"><p></p></span></p>

陆医生

最好安静状态下进行超声检查，三个月一次，其他喂养情况建议父母园地交流。