动脉导管未闭，房缺，肺动脉高压

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<p><font face="楷体_GB2312" size="2">医生您好：</font></p><p><font face="楷体_GB2312"><font size="2">&nbsp;&nbsp;<font face="宋体"> 我女儿现在38天，体重5公斤。在她32天时因患急性喉炎发现了先天性心脏病，当时做了心脏彩超，发现有动脉导管未闭、房缺（<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">Ⅱ）、轻度肺动脉高压，具体情况如下：</span></font></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">1、心脏位置正常，心房正位，房室连接一致，心室与大血管连接一致。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">2、房间隔二孔处可及一3.4mm的回声中断，室间隔连续未及中断。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">3、左心室稍增大，右心及大血管内径尚正常。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">4、房室瓣及半月瓣回声及启闭活动尚可。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">5、左位主动弓，左肺动脉与降主动脉之间可及一内径3.8mm的异常通道。心包腔内未及暗区。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">PW：AA02.0&nbsp; DAO1.6&nbsp;&nbsp; MPA1.8&nbsp; MV1.0&nbsp; TV0.8&nbsp; PDA收缩期3.7m/s,舒张期1.2m/s。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">CDFL:ASD处可及左－右过隔血流，PDA处可及异常血流通道，AR－，PR－，MR+少， TR+少。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">M型及心功能：LVDD25.5&nbsp; AO9.5&nbsp; EF79%</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; LVDS13.8&nbsp; LA13.8&nbsp; FS45%</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">当地医生推测，房缺可能是卵圆孔未闭，肺动脉高压可能和喉炎有关。</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">请问：1、我女儿自愈的可能性大吗？</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2、多长时间复查一次？</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3、如果需要治疗应选择手术还是介入？多大年龄做合适？</span></font></font></p><p><font face="楷体_GB2312"><font face="宋体" size="2"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"></span></font></font></p><p><font face="黑体" size="2">&nbsp;</font></p>