[求助]室间隔缺损咨询

zh100175

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black;"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;</font></span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">我家女儿在1个月时因肺炎查出先心&nbsp; 这是</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">7</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个月复查时的彩超&nbsp;&nbsp;&nbsp;&nbsp; 检查时间 2006-08-12</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">一、医院彩超结果</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font><span lang="EN-US"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>1.</font></span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声测量：</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></span><b style="mso-bidi-font-weight: normal;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉：</span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">瓣环内径</span><chmetcnv unitname="mm" sourcevalue="12" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">12mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，主动脉窦部前后径</span><chmetcnv unitname="mm" sourcevalue="13" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">13 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，升主动脉内径</span><chmetcnv unitname="mm" sourcevalue="10" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">10 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左房前后径</span><chmetcnv unitname="mm" sourcevalue="16" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">16mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，房间隔延续正常。</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左心室</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;&nbsp;</font></span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：室间隔厚度</span><chmetcnv unitname="mm" sourcevalue="4" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">4 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，室间隔延续正常。舒张末前后径</span><chmetcnv unitname="mm" sourcevalue="28" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">28mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，射血分数</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">66%</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，后壁厚度</span><chmetcnv unitname="mm" sourcevalue="4" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">4 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右心室前后径</span><chmetcnv unitname="mm" sourcevalue="10" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">10mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，主肺动脉径</span><chmetcnv unitname="mm" sourcevalue="11" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">11 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉瓣收缩期流速</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="1.06" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;">1.06m</span><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，肺动脉瓣收缩期流速</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="1.21" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;">1.21m</span><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，二尖瓣血流</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">E</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">峰</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="0.94" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;">0.94 m</span><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s <span style="mso-spacerun: yes;">&nbsp;&nbsp;</span>A </span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">峰</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="0.84" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;">0.<chmetcnv unitname="m" sourcevalue="84" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>84m<chmetcnv></chmetcnv></span><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，三尖瓣舒张期流速</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="0.58" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;">0.58m</span><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>2. </font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声表现：</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左房左室略大</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，右房右室内径在正常范围，室间隔及左、右室壁厚度正常，运动尚协调，收缩幅度正常。房间隔连续完整，室间隔膜周流出道部回声中断，左室面缺损约</span><chmetcnv unitname="mm" sourcevalue="6" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">6 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，右室面纤维组织增生，与三尖瓣隔瓣部分粘连，探及两处回声缺失，大小分别约</span><chmetcnv unitname="mm" sourcevalue="3.5" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">3.5 mm</font></span><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">和</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;&nbsp;<chmetcnv unitname="mm" sourcevalue="1.2" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>1.2 mm<chmetcnv></chmetcnv></font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。各瓣膜形态、结构及启闭活动未见异常。大动脉关系及内径正常。心包腔未见明显异常。</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">多普勒检查：室水平收缩期探及左向右高速射流，最大流速为</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="3.51" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US" style="COLOR: black;">3.51 m</span><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，压差为</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">49mmHg</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>3 </font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声诊断：</span><span lang="EN-US" style="COLOR: black;"><br/><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">先天性心脏病</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span></font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔缺损（膜周部）</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室水平左向右分流</span><span lang="EN-US" style="COLOR: black;"><br/><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二、想要咨询的几个问题</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>1.</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">这种先天性心脏病手术治疗成功的可能性有多大？</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">有什么更好建议？</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>2.</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">如果在您们医院治疗，治好这种病大约需要多长的时间？总共需要多少费用？</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>3.</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">我的孩子现在有</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">12</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个月了，这种病最佳治疗在什么时候？</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">谢谢专家回复！！！！！</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p>
/ w& i. O: _7 ?, {- l+ A+ z1 H6 g
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陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 这种先心病属于比较简单的先心病，手术成功率还是很高的；<br/>&nbsp;&nbsp;&nbsp; 手术治疗住院2周左右，费用3万元左右；<br/>&nbsp;&nbsp;&nbsp; 建议近期复查一次超声。

zh100175

<p>谢谢admin,回答问题好快,我会按您的嘱咐近期做超声检查的。那象我女儿这种情况有自愈的可能吗?&nbsp;能否做介入治疗？ 另外我得孩子婴儿时有先天喉喘鸣,&nbsp;4个月时消失了。现在哭及说话声音很正常,只是睡觉时容易打酣这与心脏有关吗？</p><p>&nbsp; 衷心谢谢各位专家！顺致最真诚地问候！祝身体健康 ！工作顺利！家庭幸福！</p>

2 x/ L+ k: h3 B% T2 H0 U+ ~

陆医生

让你们近期复查就是看有无自愈倾向，喉喘鸣的问题建议进行胸部CT检查，排除一下气管的问题；

zh100175

<p>衷心感谢admin教授在百忙中为我做出答复！过几天流感过后我带孩子去复查。</p><p>&nbsp; 顺致全家对您的真诚祝福！！！</p>

zh100175

补钙有利于心脏室间隔缺损自愈吗？谢谢陆教授！

陆医生

毫无依据。

zh100175

<p><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';"></span></p><p><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';"></span></p><p><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">&nbsp; 尊敬的陆医生！首先给你及全家拜年！！</span></p><p><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">&nbsp;&nbsp; 这是我家女儿13个月</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">复查时的彩超&nbsp;&nbsp;&nbsp;&nbsp; 检查时间 2007-02-24</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p></p><p></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">一、医院彩超结果</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font><span lang="EN-US"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>1.</font></span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">超声测量：</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></span><b style="mso-bidi-font-weight: normal;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">主动脉：</span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">瓣环内径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">12mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，主动脉窦部前后径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="13" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">15mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，升主动脉内径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="10" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">10 mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">左房前后径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="16" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">17mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，房间隔延续正常。</span><span lang="EN-US" style="COLOR: black;"><br/>&nbsp;&nbsp;&nbsp;<p></p></span></p><p></p><p></p><p></p><p></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">左心室</span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;&nbsp;</font></span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">：室间隔厚度</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="4" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">5 mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，室间隔延续正常。舒张末前后径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="28" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">29mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，射血分数</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">66%</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，后壁厚度5</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="4" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman"> mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。</span><span lang="EN-US" style="COLOR: black;"><br/>&nbsp;&nbsp;&nbsp;<p></p></span></p><p></p><p></p><p></p><p></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">右心室前后径9</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="10" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，主肺动脉径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="11" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">11 mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">主动脉瓣收缩期流速</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="1.06" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">1.07m</span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，肺动脉瓣收缩期流速</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="1.21" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">1.10m</span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，二尖瓣血流</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">E</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">峰</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="0.94" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">0.95 m</span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s <span style="mso-spacerun: yes;">&nbsp;&nbsp;</span>A </span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">峰</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0.84" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">0.<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="84" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv>23m<chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，三尖瓣舒张期流速</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0.58" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">0.70m</span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>2. </font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">超声表现：</span><span lang="EN-US" style="COLOR: black;"><br/>&nbsp;&nbsp;&nbsp;<p></p></span></p><p></p><p></p><p></p><p></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">各房室内径正常</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，室间隔及左、右室壁厚度正常，运动幅度正常。室间隔膜周部回声中断，左室面缺损约</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="6" unitname="mm"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">7mm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，右室面缺损与三尖瓣隔瓣部分粘连，致分流口大小约2</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">.5 mm<chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv></font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。房间隔连续完整，各瓣膜形态、结构未见明显异常。大动脉关系及发育正常。主动脉弓降未见明显异常。</span><span lang="EN-US" style="COLOR: black;"><p></p></span></p><p></p><p></p><p></p><p></p><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">多普勒检查：收缩期室水平探及左向右分流信号，最大流速为</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="3.51" unitname="m"></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">3.6 m</span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US" style="COLOR: black;">/s</span></font><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，压差为</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman">52mmHg</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。</span><span lang="EN-US" style="COLOR: black;"><br/><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>3 </font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">超声诊断：</span><span lang="EN-US" style="COLOR: black;"><br/><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">先天性心脏病</span><span lang="EN-US" style="COLOR: black;"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;</span><span style="mso-spacerun: yes;">&nbsp;<font face="宋体">膜周部</font></span></font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">室间隔缺损并假性膜部瘤形成 </span><span style="COLOR: black;"><font face="Times New Roman"><br/>&nbsp;&nbsp;&nbsp;</font></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">室水平左向右分流</span><span lang="EN-US" style="COLOR: black;"><br/><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; 二、尊敬的陆医生&nbsp; 这是孩子复查的结果，有自愈的可能吗？有什么更好的建议及措施吗？</font></span></span><span lang="EN-US" style="COLOR: black;"><p></p></span><p></p><p></p><p></p><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">谢谢专家回复！！！！！</span><span lang="EN-US" style="COLOR: black;"></span><p></p>
$ g1 N* b' B7 m+ J8 r. w* j
, I. S, o* A" O) A6 X2 C9 \

陆医生

看起来有自愈可能，还是继续定期复查吧。

zh100175

<p><font size="4">尊敬的陆医生&nbsp;：</font></p><p><font size="4">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 如果不自愈的话,能否采用介入治疗的方式,什么时间最合适? 平时都注意什么？孩子的活动要有所限制吗？</font></p><p><font size="4">&nbsp; &nbsp;谢谢！顺致最真诚地祝福！</font></p>
3 F; q! a7 q/ {* A* t$ g0 g

陆医生

如果考虑介入，一般要到3岁以后，活动不需要控制。