<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">患儿,男,</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">7</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">岁。居住地:广州市</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">广东省人民医院</span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声心动图报告</span><font face="Times New Roman"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; mso-bidi-font-size: 12.0pt;">(</span><span lang="EN-US" style="COLOR: blue;">2007-02-08</span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; mso-bidi-font-size: 12.0pt;">)<p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心腔及大血管内径(单位:</span><span lang="EN-US"><font face="Times New Roman">mm</font></span></b><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">)</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右房:</span><span lang="EN-US"><font face="Times New Roman">22.9<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右室:</span><span lang="EN-US"><font face="Times New Roman">29.1<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右室流出道:</span><span lang="EN-US"><font face="Times New Roman">18.7<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主肺动脉:</span><span lang="EN-US"><font face="Times New Roman">18.4</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左房:</span><span lang="EN-US"><font face="Times New Roman">24.5<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左室舒张末:</span><span lang="EN-US"><font face="Times New Roman">39<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左室收缩末:</span><span lang="EN-US"><font face="Times New Roman">25<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉:</span><span lang="EN-US"><font face="Times New Roman">19</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">瓣口血流速度(单位:</span><span lang="EN-US"><font face="Times New Roman">m/s</font></span></b><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">)</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">肺动脉瓣:</span><span lang="EN-US"><font face="Times New Roman">0.8<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉瓣:</span><span lang="EN-US"><font face="Times New Roman">1.95<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">三尖瓣:</span><span lang="EN-US"><font face="Times New Roman">0.73<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二尖瓣:</span><span lang="EN-US"><font face="Times New Roman">1.34</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">降主动脉:</span><span lang="EN-US"><font face="Times New Roman">1.13</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心功能测定</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVEF</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">:</span><span lang="EN-US"><font face="Times New Roman">73%<span style="mso-spacerun: yes;"> </span>FS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">:</span><span lang="EN-US"><font face="Times New Roman">36%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声描述</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span><p></p></font></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心脏节段:心脏左位,心房正位,心室右袢,主动脉正位。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心房与静脉回流:体静脉回流入右房,肺静脉回流入左房。左、右房大小正常,房间隔完整。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">房室连接:三尖瓣探及返流,面积</span><span lang="EN-US"><font face="Times New Roman">1.6cm2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">,估测右室收缩压</span><span lang="EN-US"><font face="Times New Roman">25mmHg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">;二尖瓣探及返流,面积</span><span lang="EN-US"><font face="Times New Roman">0.73cm2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心室:右心室结构及功能正常,左心室增大,室间隔完整,室间隔与左室后壁呈逆向运动,运动幅度正常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心室与大动脉连接:肺动脉瓣形态及功能正常,主动脉瓣为三叶瓣,右冠瓣反射增强,与无冠瓣粘连,开放稍受限,血流速度增快,</span><span lang="EN-US"><font face="Times New Roman">Vmax1.95m/s</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">,压差</span><span lang="EN-US"><font face="Times New Roman">15mmHg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">;主动脉瓣探及返流,面积</span><span lang="EN-US"><font face="Times New Roman">1.8cm2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">大动脉:主肺动脉正常,主动脉窄后扩张,主动脉弓及降主动脉完整。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">冠状动脉:左、右冠状动脉起源、走向正常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心包:未见积液。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声提示</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉瓣病变,主动脉瓣狭窄(轻度)并返流(轻</span><span lang="EN-US"><font face="Times New Roman">-</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">中度)</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心脏功能正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">广东省人民医院</span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心电图报告单</span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; mso-bidi-font-size: 12.0pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">提示:</span></b><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">完全性右束支传导阻滞</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">医生根据上述检查结果确诊为先心病(主动脉瓣狭窄)。患者家属被告之药物无法治疗此病,只有行主动脉瓣人工瓣膜置换术。手术要等待</span><span lang="EN-US"><font face="Times New Roman">15</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">岁以后或出现明显症状后进行。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">患儿父母又辗转跑了省内几个大的医院,意见虽不完全一致,但前景依然不容乐观。上网查阅了大量的资料,得知施行人工瓣膜置换术,有机械换瓣和生物换瓣,前者需终身服抗凝药,将来影响生育;或需行二次手术;长期生存质量低,十年生存率仅为</span><span lang="EN-US"><font face="Times New Roman">70</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">%。。。。。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">孩子的父母无法面对这个残酷的现实,终日处于极度恐慌之中,因此而背上了沉重的思想包袱。现代医学真的是无法治愈这种病吗?一定只能被动等待严重的症状出现吗?在这个期间要时时刻刻面临昏厥(或者其他生命危险)。。。</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">谁能救救我的孩子,只要有一线希望不做换瓣手术而能治疗此病,就是我们此生最大的愿望</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"> <p></p></font></span></p><p></p> |