“室缺+房缺” 如何是好？！

chx114

<p><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体" color="#000000" style="BACKGROUND-COLOR: #bde61a;"><strong>男孩，四个月，体重8公斤，超声报告如下：</strong></font></span></p><p><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">超声测值：升主动脉内径</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="8.9" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">8.9mm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">,</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">主动脉根部内径</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="10.1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">10.1mm</span></chmetcnv><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">，左房内径</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="19.4" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">19.4mm</span></chmetcnv><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">，左室舒末内径</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="27" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">27.0mm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">. </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">左室收末内径</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="17.8" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">17.8mm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">. </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">室间隔厚度（</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">D/S</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">）</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">4.0/7<chmetcnv wst="on" unitname="mm" sourcevalue=".3" hasspace="False" negative="False" numbertype="1" tcsc="0">.3mm</chmetcnv>. </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">左室后壁厚径（</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">D/S</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">）</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">4.0/7<chmetcnv wst="on" unitname="mm" sourcevalue=".3" hasspace="False" negative="False" numbertype="1" tcsc="0">.3mm</chmetcnv></span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">。主肺动脉内径</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="11.7" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">11.7mm</span></chmetcnv><font face="宋体"><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;">。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;"><p></p></span></font></p><p><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">心功能：</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">EF 66% (57%-75%)<p></p></span></p><p><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">Doppler: </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">肺动脉瓣</font></span><chmetcnv wst="on" unitname="m" sourcevalue="1.3" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">1.3m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">/s</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">，主动脉瓣</font></span><chmetcnv wst="on" unitname="m" sourcevalue="1.1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">1.1m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">/s, </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">二尖瓣口：</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">E</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">峰</font></span><chmetcnv wst="on" unitname="m" sourcevalue="1.5" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">1.5m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">/s</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">，</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">A</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">峰</font></span><chmetcnv wst="on" unitname="m" sourcevalue="1.3" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">1.3m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">/s<p></p></span></p><p><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">2D: </span><font face="宋体"><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;">左房，左室增大，右房室大小正常。室间隔、左室后壁厚度正常。左室壁运动正常。未见阶段性运动障碍。各瓣膜活动、回声、结构正常。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;"><p></p></span></font></p><p><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">左室长轴切面室间隔膜部及大动脉短轴切面</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">10</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">点钟处，见室间隔连续中断，缺口长</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="5" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">5.0mm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">. </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">胸骨旁及剑下四腔心切面，房间隔中段连续性中断，缺口长</font></span><chmetcnv wst="on" unitname="mm" sourcevalue="3" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">3mm</span></chmetcnv><font face="宋体"><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;">。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">CDFI: </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">于室间隔缺损口处见收缩期五彩血流自左向右通过，最大分流速度</font></span><chmetcnv wst="on" unitname="cm" sourcevalue="3.1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">3.1cm</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">/s, PG39mmHg. </span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">于房间隔缺损处可见左向右过隔红色血流束。于缺损处右房侧可探及以舒张期为主的全心动周期分流频谱，分流速度：</font></span><chmetcnv wst="on" unitname="m" sourcevalue="1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">1.0m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">/s</span><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;"><font face="宋体">，</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;">PG4.4mmHg.<p></p></span></p><p><font face="宋体"><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;">超声提示：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;"><p></p></span></font></p><p><font face="宋体"><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;">先天性心脏病</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;"><p></p></span></font></p><p><font face="宋体"><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua;">室间隔缺损（膜部）</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: Arial; mso-highlight: aqua;"><p></p></span></font></p><p><span style="FONT-SIZE: 10.5pt; BACKGROUND: aqua; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-highlight: aqua; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">卵圆孔未闭。</span></p><p>请问：</p><p>1）孩子已经接种乙肝（第一、二针）、卡介苗、百白破（第一针）疫苗和糖丸（两次）。</p><p><strong><u>不知有没有问题？</u></strong></p><p>今后还有：A群流脑、麻疹、麻风腮、甲肝、肺炎、水痘、A+C流脑疫苗要接种。</p><p><u><strong>不知那些是可以的、而哪些要暂缓或不接种？</strong></u></p><p><strong><u></u></strong></p><p>2）孩子睡觉时，经常会反复出现呼吸停止5-6秒的情况（与大人睡觉时打呼噜出现的呼吸停止症状相似）。</p><p>这是<u><strong>因为先心病的原因吗？该怎么处理？</strong></u></p>[em06]

陆医生

<p>可以正常预防接种；</p><p>呼吸问题建议看五官科门诊。</p>