法四求助！！！

CKJRL

<p>我有一对可爱的双胞胎宝宝，今年２岁多了．哥哥以前有点紫唇现象．以为是双胞胎的原因体质弱．前几天带他到县医院检查（彩超资料如下）医生说是法四．请问在贵院可以手术吗？可以的话什么时候合适？费用多少？</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;;">临床诊断：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 60.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 60.75pt;"><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; </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;;">主动脉内径</span><font face="Times New Roman"><chmetcnv wst="on" unitname="mm" sourcevalue="19" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">19mm</span></chmetcnv><span lang="EN-US">
" N# q2 v" p! |& q9 I                        </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;;">脉动脉内径</span><span lang="EN-US"><font face="Times New Roman">13mm</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 60.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 60.75pt;"><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; </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;;">左房内径</span><span lang="EN-US"><font face="Times New Roman">25mm </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;;">左室内径</span><span lang="EN-US"><font face="Times New Roman">32mm </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;;">右房大小</span><span lang="EN-US"><font face="Times New Roman">23X25mm </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;;">右室内径</span><span lang="EN-US"><font face="Times New Roman">26mm (</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;;">心尖四腔切面</span><span lang="EN-US"><font face="Times New Roman">) </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;;">右室前壁厚</span><span lang="EN-US"><font face="Times New Roman">5.8mm</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 60.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 60.75pt;"><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; </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;;">二尖瓣前叶峰曲线，前后叶逆向运动</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 60.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 60.75pt;"><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; </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;;">脉动脉瓣增厚，回声增强，开放受限，关闭尚可，余瓣膜形态活动正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 60.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 60.75pt;"><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; </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;;">房间隔回声未见连续性中断，室间隔上部见一宽约</span><span lang="EN-US"><font face="Times New Roman">15mm</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;;">回声中断主动脉骑跨于室间隔之上，骑跨率</span><span lang="EN-US"><font face="Times New Roman">62%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 60.75pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 60.75pt;"><font face="Times New Roman"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;">6，<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></span></span><span lang="EN-US">CDFI+D</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;;">：室间隔上部回声中断处可见双期双向红蓝分流束，收缩期左向右分流，扩张期期右向左分流，分流速为</span><span lang="EN-US"><font face="Times New Roman">Vmax</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;;">分别为</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue="2.47" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">2.47m</span></chmetcnv><span lang="EN-US">/s<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" unitname="m" sourcevalue="2" hasspace="False" negative="False" numbertype="1" tcsc="0">2.0m</chmetcnv>/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;;">脉动脉瓣收缩期射流速明显增快，峰速</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue="4.5" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">4.5m</span></chmetcnv><span lang="EN-US">/s</span></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;;">结论：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 42pt; mso-char-indent-count: 4.0;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 42pt; mso-char-indent-count: 4.0;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">法洛氏四联症（室间隔大缺损</span><font face="Times New Roman">
                </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;;">主动脉跨骑</span><font face="Times New Roman">
' Z0 I: u2 y! u2 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;;">脉动脉瓣狭窄</span><font face="Times New Roman">
                </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;;">右室前壁增厚）</span></p><p></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 可以手术，现在手术已经算晚了，费用4万元左右。

CKJRL

<p>我们准备下礼拜来上海.到时候是不是有床位 是不是能立即手术!手术后要住院观察多久? 能不能留你的联系方式 或加我的QQ100508181</p><p>严重感谢!!!</p>

陆医生

入院没有那么快的，先看门诊吧。

CKJRL

管理员你好1 我们现在已经到贵院检查了！礼拜一挂了专家号 专家发了超声和心电图请求单！由于当天人多今天才做彩超和心电图 （结果为法4）求诊心切今天下午又挂了个普通门诊 医生要求做心导管造影 请问我是现在就入院还是等下礼拜一的专家确诊？请问您什么时候坐诊？

陆医生

呵呵，目前我不看门诊，既然这样，还是等到下周一看专家门诊吧。

CKJRL

您好! 刚才给您的marslu@tom.com信箱发了个EMAIL麻烦你有空的话看看!

陆医生

建议你们看周四上午史珍英主任的门诊，准备外科治疗的话，你们应该看胸外科门诊。

CKJRL

谢谢斑竹!

CKJRL

<p>陆医生您好:</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 我们前不久挂了苏兆伉教授的特需门诊他要求我们做和磁共振 现在结果已经出来了.也开了住院请求单.医院要我们等住院通知.现在等了快半个月了 不知道什么时候能进院 我们从张家界来的啊在这里很不方便啊 请问有没有什么方式能尽快入院?</p><p></p>

陆医生

近期我们在新大楼搬迁，估计下周开始住院问题会有所缓解。

CKJRL

<p>谢谢</p><p></p>