咨询3岁女孩的复杂先心

Moomin

<p class="MsoNormal" align="left" style="BACKGROUND: white; MARGIN: 9.75pt 0cm; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><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">王碧颖，</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2004</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;">4</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">日出生，</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2005</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;">8</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;">月在武汉亚心医院的超声检查报告如下：</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">肝脏为水平肝，脾脏位于左上腹，内可见多个分叶。下腔静脉、腹主动脉位于脊柱正前方，下腔静脉位于腹主动脉右侧，心房为单心房，横径</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">5.9</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">厘米、左右径</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">3.6</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">厘米，肝静脉、下腔静脉回流入心房右侧。胸骨上窝切面见左右无名静脉会合成上腔静脉处有一支垂直上行的静脉汇入（考虑下腔静脉经奇静脉汇入上腔静脉），肺静脉回流入心房左侧，心室右袢，二尖瓣和三尖瓣发育欠佳，二、三尖瓣各自的腱索与室间隔相连，收缩期心房侧见中度返流信号。室间隔十字交叉处可见回声中断，缺损口径</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.2</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">厘米，房室腔血液可自由交通。长轴切面见一明显增粗动脉干，内径</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">2.6</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">厘米，前移骑跨于室间隔上，收缩期可见左、右室血流射入大动脉。动脉壁前方未见右室流出道。心底短轴切面，右室流出道包绕主动脉根部结构未见显示，动脉干后壁见肺动脉管腔，内径</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.55</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">厘米，起自于明显增粗的动脉干，远端可见肺动脉左右分支，内径分别为</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.1</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">厘米、</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.3</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;">厘米，其内可见连续性血流信号。降主动脉未见狭窄。心包腔未见积液。</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">超声提示：先天性复杂心脏病：多脾症、下腔静脉肝段缺如、单心房、完全性心内膜垫缺损、永存动脉干。</font></span></p><p><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p>请医生看一下，这个孩子的手术指征如何？还有希望么？</p></span></p>