应该怎么办

张叶苗

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">10岁&nbsp; 女&nbsp;&nbsp; &nbsp;26.3公斤</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><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;;">型超声心动图（</span><span lang="EN-US"><font face="Times New Roman">cm</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></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVDd<span style="mso-spacerun: yes;">&nbsp; </span>3.53<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>RVDd<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>LVIVSd<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>LVPWd 0.74<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>Ao2.33<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>LVEF<span style="mso-spacerun: yes;">&nbsp; </span>74</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></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; tab-stops: 127.5pt;"><span lang="EN-US"><font face="Times New Roman">LVDd<span style="mso-spacerun: yes;">&nbsp; </span>2.05<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>RVDs<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVIVSs<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>LVPWs1.20<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>LA2.26<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>LVFS<span style="mso-spacerun: yes;">&nbsp; </span>42%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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;;">频谱多普勒超声（</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></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AAo 3.8<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>DAo 1.6<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVOT 0.8<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>RVOT<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MPA<span style="mso-spacerun: yes;">&nbsp; </span>0.9<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>MV1.0<span style="mso-spacerun: yes;">&nbsp; </span>TV0.7<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">跨瓣压差＝</span><span lang="EN-US"><font face="Times New Roman">56.1mmHg</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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;;">彩色多普勒超声</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><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;;">阴性</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>AI</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;;">阴性</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>TR</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;;">轻微</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>PI</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;;">轻微</span><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;;">心房水平</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&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;;">无分流</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&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;;">心室水平</span><font face="Times New Roman">
5 @, v' r4 J* u  d& I* m- d                </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;;">无分流；</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&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;;">大动脉水平</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&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;;">无分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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;;">超声所见</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;;">心脏位置及连接正常。各房室腔无明显扩大，左室壁稍肥厚，左室壁收缩活动可。主动脉无冠瓣与右冠瓣融合，有痕迹，呈功能型二叶瓣，瓣叶增厚，回声增强，开放活动受限，瓣环</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="1.6" unitname="cm"><span lang="EN-US"><font face="Times New Roman">1.6cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">；左室流出道流速</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".8" unitname="m"><span lang="EN-US">0.8m</span></chmetcnv><span lang="EN-US">/s</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;;">，主动脉流速</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.8" unitname="m"><span lang="EN-US">3.8m</span></chmetcnv><span lang="EN-US">/s</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;;">，估测跨主动脉瓣压差＝</span><span lang="EN-US"><font face="Times New Roman">56.1mmHg</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;;">；升主动脉增宽，内径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="2.86" unitname="cm"><span lang="EN-US"><font face="Times New Roman">2.86cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">。左右冠状动脉无明显增宽。肺动脉无增宽。房室瓣开放活动可。房间隔完整，室间隔完整。左位主动脉弓。</span></p><p></p>

陆医生

哪里做的超声？什么时候做的？

张叶苗

<p>这个就是在上海儿童医学中心04.8.12检查结果。01年曾经做过一次介入治疗，但那小伞进入体内以后，说压差不够。</p><p>平时孩子也没什么异样，体质也不错，很少感冒什么的。所以我想这样的情况，我平时应该让她注意点什么。老是压差不够又怎么办呢？会不会影响发育？</p>

陆医生

我不太理解为什么要进行介入治疗，并且2年前的检查结果价值不大，近期没有复查过么？

张叶苗

我的QQ<strong>394291517</strong>，你可以加我吗？这两年没有去复查，所以我准备今年暑假再去查查看。01年当时在仪器上检查，压差值已经到达能做手术的值了，所以，就住院治疗的。但是后来手术中医生说还没到那个值，所以就放弃了。什么叫检查价值不大？那怎样检查才叫有价值呢？你在QQ上加我吧。我仔细地咨询你。

陆医生

两年的时间可能发生很多变化，这就是两年前的检查结果价值不大的原因，还是近期复查后再说吧。

张叶苗

所以你加我好吗，我到暑假检查好了，还可以咨询你啊394291517

陆医生

抱歉，我很少使用QQ，如果有问题，请在论坛内提出！