求助：先天性心脏病复杂畸形

little1137

<p><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">管理员：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">您好！我的小侄子出生刚</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">个多月</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">(</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">生日：</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2007.1.6</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">），于</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2007</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">年</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">月</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">25</span><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">日在广西医科大学附属一医院经超声检查初诊为先天性心脏病，复杂畸形。该院建议到贵院做进一步检查和治疗，但由于路途遥远，现在想先了解具体情况再做打算，希望贵院能及时回复检查报告后面的问题，万分感谢！（由于报告内容是从电话听写下来的，个别术语或表达可能与原文有些许出入）</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">现将详细检查报告提供如下：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><font size="3"><font face="宋体">年龄：<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="1" unitname="m"><span lang="EN-US">1M</span></chmetcnv><span lang="EN-US">+<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>性别： 男<span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>（出生时）体重：<span lang="EN-US">5.8</span>斤<span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></font></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;;">彩超数据测值：</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;;">主动脉根部内径</span><span lang="EN-US"><font face="Times New Roman">11mm</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;;">右房内径</span><span lang="EN-US"><font face="Times New Roman">15mm</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;;">单心室舒末径</span><span lang="EN-US"><font face="Times New Roman">29mm</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;;">主肺动脉内径</span><span lang="EN-US"><font face="Times New Roman">12mm</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;;">右房横径</span><span lang="EN-US"><font face="Times New Roman">26mm</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;;">单心室壁厚</span><span lang="EN-US"><font face="Times New Roman">7mm</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 18pt; TEXT-INDENT: -18pt; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">1.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">肝脏位于右上腹腔，脾脏位于左上腹腔，下腔静脉与右房相连，肺静脉与左房相连</span><font face="Times New Roman">
. \+ O7 B# l- o& }& n8 S                </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;;">（提示：内脏、心脏位置正常）于左室长轴切面及四腔图等多个切面均探不到室间隔回声，而呈现一个巨大的共同心室腔，右房稍增大，左房不大，单心室室壁增厚约</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7" unitname="mm"><span lang="EN-US"><font face="Times New Roman">7mm</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;;">，于静息状态下收缩运动有力。心包腔内未探及液性暗声像。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">2.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">房间隔中下段连续中断，回声缺失</span><span lang="EN-US"><font face="Times New Roman">10mm</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;;">，房水平探及红色为主的暗淡过隔左向右分流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">3.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">四腔观二尖瓣位置为强回声所代替，未见随心脏舒缩的瓣叶启闭运动，未见血流信号，房室口仅见一组瓣膜，即三尖瓣，形态结构正常，开幅口关闭欠佳，瓣口收缩期可见轻微返流，速度</span><span lang="EN-US"><font face="Times New Roman">3.6m/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;;">，压差</span><span lang="EN-US"><font face="Times New Roman">53mmhg</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;;">，瞬间返流量</span><span lang="EN-US"><font face="Times New Roman">2.1ml</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;;">，肺动脉瓣形态结构正常，瓣口收缩期前向血流速度增呈五彩血流，速度</span><span lang="EN-US"><font face="Times New Roman">1.1m/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;;">，压差</span><span lang="EN-US"><font face="Times New Roman">5.2mmhg</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;;">，关闭尚好，舒张期瓣口未见返流，主动脉形态结构正常，开幅口未见异常血流。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">4.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">于左室长轴切面观，大动脉起源异常，主动脉及肺动脉并列发自单心室，主动脉位于左前方，肺动脉位于右下方，血流正常，正常之右室流出道及肺动脉顺钟向，包绕主动脉这声消失（详见照片）。肺动脉主干及左右分支未见狭窄，主干内径</span><span lang="EN-US"><font face="Times New Roman">12mm</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;;">，左右分支发育尚好，左支</span><span lang="EN-US"><font face="Times New Roman">7mm</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;;">，右支</span><span lang="EN-US"><font face="Times New Roman">6mm</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;;">，其内可见源自肺动脉瓣口的收缩期五彩射流。</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;;">超声诊断：先天性心脏病，复杂畸形。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">1.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">一组房室瓣（三尖瓣）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">2.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">房间隔缺损</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">3.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">左室发育不良</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">4.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">右室双出口（</span><span lang="EN-US"><font face="Times New Roman">SDT</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;;">形）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">5.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">三尖瓣关闭不全</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">6.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">建议进一步检查</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;;">问题：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l2 level1 lfo3; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">1.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">我侄子的病情是否严重？若需手术，那么手术的最佳时期是什么时候？是需要一次手术还是多次手术修复？一次手术需要多长时间才能出院？手术总费用大概多少？</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l2 level1 lfo3; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">2.<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></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;;">若到贵院做进一步检查，检查项目包括哪些？从检查到得到结果需要多长时间？费用多少？</span></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 疾病很复杂，估计需要多次手术，且无法达到根治水平；<br/>&nbsp;&nbsp;&nbsp; 建议3个月左右带小孩到我中心明确诊断，要住院进行导管检查，需1周左右。

little1137

<p>&nbsp;&nbsp;&nbsp; </p><p>&nbsp;&nbsp;&nbsp; 谢谢admin医师！</p><p>&nbsp;&nbsp;&nbsp; 那么到贵中心明确诊断，住院进行导管检查的费用大概是多少？这么复杂的病情在确诊后是否需要</p><p>马上做手术？几次手术的费用累计多少？</p>