[求助]先天性心脏病

柯其春

<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"><p><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">姓名：柯雨萱（福建省福州市长乐人）　　性别：女　　出生年月：</span><chsdate wst="on" year="2004" month="11" day="2" islunardate="False" isrocdate="False"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2004</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">年</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">11</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">月</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">日</span></chsdate><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">　　体重：</span><chmetcnv wst="on" unitname="kg" sourcevalue="12" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">12kg</span></chmetcnv><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;">　</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;">彩色多普勒超声检查报告描述：主动脉：</span><chmetcnv wst="on" unitname="cm" sourcevalue="1.76" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.76cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">左房：</span><chmetcnv wst="on" unitname="cm" sourcevalue="1.69" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.69cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">室间隔上段：</span><chmetcnv wst="on" unitname="cm" sourcevalue=".695" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.695cm</span></chmetcnv><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;">室间隔中段：</span><chmetcnv wst="on" unitname="cm" sourcevalue=".828" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.828cm</span></chmetcnv><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;">室间隔下段：</span><chmetcnv wst="on" unitname="cm" sourcevalue=".782" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.782cm</span></chmetcnv><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;">左室：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2.5</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">－</span><chmetcnv wst="on" unitname="cm" sourcevalue="1.6" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.6cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">左室后壁：</span><chmetcnv wst="on" unitname="cm" sourcevalue=".3" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.3cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">肺动脉：</span><chmetcnv wst="on" unitname="cm" sourcevalue="2.2" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2.2cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">右房（四腔观）：</span><chmetcnv wst="on" unitname="cm" sourcevalue="2.85" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2.85cm</span></chmetcnv><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;">右室（四腔观）：</span><chmetcnv wst="on" unitname="cm" sourcevalue="2.95" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2.95cm</span></chmetcnv><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;">左室舒张容积：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">15ml&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">射血分数：</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;">　　短轴缩短率：</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;">　　　右室前壁：</span><chmetcnv wst="on" unitname="cm" sourcevalue="1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.0cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp; </span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">　</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;">心脏属正常位左位心，</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">A</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">－</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">V</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">连接一致，</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">V</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">－</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">A</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">连接一致，左位主动脉弓。</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;">右房右室扩大，左房室腔内径正常，右室壁及室间隔增厚。</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;">肺动脉瓣环直径</span><chmetcnv wst="on" unitname="cm" sourcevalue="1.18" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.18cm</span></chmetcnv><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">，肺动脉瓣反光增强，开放受限，开瓣间距约</span><chmetcnv wst="on" unitname="mm" sourcevalue=".337" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.337mm</span></chmetcnv><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">，多普勒在瓣口探及</span><chmetcnv wst="on" unitname="m" sourcevalue="5.69" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">5.69m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">/s</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">高速湍流频谱，</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">CW</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">估测跨瓣压差为</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">129mmHg</span><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">。狭窄后肺动脉内径扩张为</span><chmetcnv wst="on" unitname="cm" sourcevalue="2.2" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2.2cm</span></chmetcnv><span style="FONT-SIZE: 10.5pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial;">。</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;">房、室间隔未见回声失落，多普勒未探及心内分流。（下接）</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></p></font></span>