肺动脉瓣狭窄

lihonglai

<p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 10pt; COLOR: #333333; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">我是山西运城的一名患者家属，我儿子今年<span lang="EN-US">1</span>岁，刚出生检查有肺动脉瓣狭窄，<span lang="EN-US"><br/></span>这个是孩子<chsdate wst="on" isrocdate="False" islunardate="False" day="10" month="4" year="2006"><span lang="EN-US">2006</span>年<span lang="EN-US">4</span>月<span lang="EN-US">10</span>日</chsdate><span lang="EN-US"> 10</span>天做的彩超<span lang="EN-US"><br/></span>主动脉　 窦部前后径<span lang="EN-US">
                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12" unitname="mm">12mm</chmetcnv></span>　　　　升主动脉内径<span lang="EN-US">
                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12" unitname="mm">12mm</chmetcnv></span>　<span lang="EN-US"><br/></span>室间隔 厚度<span lang="EN-US">
; g1 r/ q/ @; L& q                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3" unitname="mm">3mm</chmetcnv></span>　　运动幅度： <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0" unitname="mm">３<span lang="EN-US">mm</span></chmetcnv>　　　　与左后壁逆向运动<span lang="EN-US"><br/></span>肺动脉　 根部内径<span lang="EN-US">
8 }! p0 |" n* I* I: j                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv></span>　　　左肺动脉<span lang="EN-US">
+ a+ Z! e" `- U" d  R, a                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="mm">4mm</chmetcnv></span>　　右肺动脉：<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0" unitname="mm">５<span lang="EN-US">mm</span></chmetcnv><br/>左房： <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0" unitname="mm">１４<span lang="EN-US">mm</span></chmetcnv>　　　　　　　右房：正常<span lang="EN-US"> mm<br/></span>左室： 舒末内径：<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="17" unitname="mm"><span lang="EN-US">17mm</span></chmetcnv>　收末内径：<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="11" unitname="mm"><span lang="EN-US">11mm</span></chmetcnv>　后壁厚度：<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3" unitname="mm"><span lang="EN-US">3mm</span></chmetcnv>　<span lang="EN-US"><br/></span>后壁运动幅度<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="mm">4mm</chmetcnv><br/></span>右室<span lang="EN-US">: </span>前后径<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv>
! @* z* W+ S2 k+ H' @9 Y0 B  Z                        </span>横径<span lang="EN-US">:/ mm </span>流出道<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="14" unitname="mm">14mm</chmetcnv>
                        </span>前壁厚度<span lang="EN-US">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3" unitname="mm">3mm</chmetcnv><br/></span>二尖瓣舒张期<span lang="EN-US">: E</span>峰流速<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="66" unitname="cm">66cm</chmetcnv>/s<br/></span>三尖瓣舒张期<span lang="EN-US">: E</span>峰流速<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="115" unitname="cm"><span lang="EN-US">115cm</span></chmetcnv><span lang="EN-US">/s<br/></span>主动脉瓣收缩期<span lang="EN-US">: </span>流速<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="80" unitname="cm">80cm</chmetcnv>/s<br/></span>肺运脉瓣收缩期<span lang="EN-US">: </span>流速<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="363" unitname="cm">363cm</chmetcnv>/s<br/></span>心功能<span lang="EN-US">:EDV 9ML ESV 3 ML CO <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".9" unitname="l">0.9L</chmetcnv>/min CI <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4.1" unitname="l">4.1L</chmetcnv>/min .</span>平方米<span lang="EN-US"> SV 6.5ML EF 72% FS 38%<br/></span>超声所见<span lang="EN-US">:<br/></span>各房室腔大小正常<span lang="EN-US">.</span>室间隔及左室各壁厚度<span lang="EN-US">.</span>运动正常<span lang="EN-US">. </span>右室壁增厚<span lang="EN-US">. </span>肺动脉瓣回声增强<span lang="EN-US"><br/></span>活动受限<span lang="EN-US">,</span>余瓣膜形态正常<span lang="EN-US">. </span>回声纤细<span lang="EN-US">,</span>活动良好<span lang="EN-US">.</span>房室间隔连续完整<span lang="EN-US">.</span>大血管位置及内径正常<span lang="EN-US"> .<br/></span>主运脉根部运动曲线主峰波上升速度小于下降速度<span lang="EN-US">,</span>重搏波存在<span lang="EN-US">.<br/>CDFI:</span>收缩期肺动脉瓣上流速加快<span lang="EN-US">,</span>最大速度<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="363" unitname="cm"><span lang="EN-US">363cm</span></chmetcnv><span lang="EN-US">/s,</span>跨瓣压差<span lang="EN-US">:53mmgh,</span>三尖瓣右房侧可控及少量蓝色返流信号<span lang="EN-US">.</span>速度<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="273" unitname="cm"><span lang="EN-US">273cm</span></chmetcnv><span lang="EN-US">/s </span>舒张期肺瓣下可探及少量蓝色信号<span lang="EN-US">,</span>速度<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="173" unitname="cm"><span lang="EN-US">173cm</span></chmetcnv><span lang="EN-US">/s<br/></span>超声诊断<span lang="EN-US"><br/></span>先天性心病<span lang="EN-US"><br/></span>肺动脉瓣狭窄<span lang="EN-US"><br/></span>下面这个是<chsdate wst="on" isrocdate="False" islunardate="False" day="10" month="4" year="2007"><span lang="EN-US">2007</span>年<span lang="EN-US">4</span>月<span lang="EN-US">10</span>日</chsdate><span lang="EN-US"> 1</span>岁做的<span lang="EN-US"><br/></span>主动脉根部径：　<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12.4" unitname="mm"><span lang="EN-US">12.4mm</span></chmetcnv><span lang="EN-US">
                        </span>主动脉最大流速<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="104" unitname="cm"><span lang="EN-US">104cm</span></chmetcnv><span lang="EN-US">/s<br/></span>左房内径<span lang="EN-US">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12.4" unitname="mm">12.4mm</chmetcnv>
+ H3 X- O+ V: K$ ^7 A                        </span>肺动脉最大流速<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="64" unitname="cm"><span lang="EN-US">64cm</span></chmetcnv><span lang="EN-US">/s<br/></span>右房内径<span lang="EN-US">: mm </span>左心<span lang="EN-US">E</span>波最大流速<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="101" unitname="cm">101cm</chmetcnv>/s<br/></span>右房前后径<span lang="EN-US">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="9.8" unitname="mm">9.8mm</chmetcnv>
4 d1 k# L0 V" G& \7 `2 X' U' B                        </span>左心<span lang="EN-US">A</span>波最大流速<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="50" unitname="cm">50cm</chmetcnv>/s<br/></span>室间隔厚度<span lang="EN-US">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.6" unitname="mm">3.6mm</chmetcnv>
                        </span>室间隔增厚率<span lang="EN-US">: 33%<br/></span>左室后壁厚度<span lang="EN-US">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4.7" unitname="mm">4.7mm</chmetcnv>
                        </span>左室增厚率<span lang="EN-US">: 19%<br/></span>左室舒末内径<span lang="EN-US">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="31.1" unitname="mm">31.1mm</chmetcnv>
                        </span>收末内径<span lang="EN-US">:</span>　　　　<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="14" unitname="mm"><span lang="EN-US">14.0mm</span></chmetcnv><br/>肺动脉根部内径<span lang="EN-US">:<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12.6" unitname="mm">12.6mm</chmetcnv>
                        </span>右室流出道<span lang="EN-US">:</span>　　　<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="17.1" unitname="mm"><span lang="EN-US">17.1mm</span></chmetcnv><br/>室间隔与左心室后壁逆向运动<span lang="EN-US"><br/></span>左室射血分数<span lang="EN-US">: 87%<br/></span>缩短分数<span lang="EN-US">: 55%<br/></span>右肺动脉内径<span lang="EN-US">
" X% x+ l3 ]) ^                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4.6" unitname="mm">4.6mm</chmetcnv><br/></span>左肺动脉内径<span lang="EN-US">
; |% u8 A4 f7 m                                <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7.1" unitname="mm">7.1mm</chmetcnv><br/><br/></span>超声显示<span lang="EN-US"><br/></span>１．各房室腔内径测值未见异常<span lang="EN-US"><br/></span>２．<span lang="EN-US">.</span>室间隔及左室后隔厚度正常，运动幅度及增厚率正常，余各室壁厚度及运动幅度均未见明显异常；房室间隔连续完整，余未见异常回声．<span lang="EN-US"><br/></span>３．各组瓣膜回声及运动均未见明显异常，<span lang="EN-US">CDFI</span>显示：各组瓣口均未见异常彩色返流信号．余未见异常．<span lang="EN-US"><br/></span>４．主动脉根部内径及运动均未见异常．右脉动脉最大流速<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="431" unitname="cm"><span lang="EN-US">431cm</span></chmetcnv>／<span lang="EN-US">s</span>　ＲＩ＝<span lang="EN-US">77.4<br/></span>５．各心包腔内均未见异常回声<span lang="EN-US"><br/></span>超声提示：<span lang="EN-US"><br/></span>右肺动脉狭窄可能<span lang="EN-US"><br/></span></span><span style="FONT-SIZE: 10pt; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体;">请问教授：这两次检查发生什么变化？孩子病情怎样？该什么时候治疗最好？现在该怎么办？</span><span style="FONT-SIZE: 10pt; COLOR: #333333; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">可否等到<span lang="EN-US">3</span>岁后介入治疗<span lang="EN-US">? </span>介入有无并发症<span lang="EN-US">, </span>介入费用大概多少<span lang="EN-US">?</span></span><span lang="EN-US" style="FONT-SIZE: 10pt; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体;">
                </span><span style="FONT-SIZE: 10pt; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体;">望给与帮助，谢谢！</span><span lang="EN-US" style="FONT-SIZE: 10pt; COLOR: #333333; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">.<br/></span><span style="FONT-SIZE: 10pt; COLOR: #333333; LINE-HEIGHT: 150%; FONT-FAMILY: 新宋体; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">以上請速回復<span lang="EN-US">, </span>謝謝了<span lang="EN-US"><p></p></span></span></p>

陆医生

如果单纯一侧肺动脉狭窄，建议继续定期复查，不排除自愈可能。