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发表于 2009-2-12 11:17:36
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麻烦陆医生给看一下
陆医生，, t. G3 ~9 Q6 H( `+ E/ S$ l( m
楼主还想再努力一下，看看有没有在国外手术的可能性。我想第一步，先得把检查结果给翻译过去吧。不过报告太专业了，虽然很短，却折腾了好几天，也不知道翻明白了没有。所以还想请您给过过目，有可能的话给修改一下。上传的是原始报告，下面是翻译。7 j# @4 X9 F/ A+ X+ C8 N# I8 S
麻烦您了，真诚地谢谢您!# P: W2 {1 l% [6 h* I, M1 E! M
囡囡妈妈
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1 z5 Z% |; n1 I5 O% ^. F; E另外我想问问短消息为什么不能带附件？因为原件是楼主用EMAIL发给我的，我开始不想贴到帖子里，可是好像没有别的办法了。楼主还请谅解。! X) W* V0 x9 z5 j
# ^/ \" y8 r3 @& E" c/ X0 CName:
7 V5 e$ h" b6 J* g; S2 V1 bGender: Male# P( Y# _ z' B- ?, F
Age: 8 months
5 }; R+ X4 d( B- ^9 w" S4 TExamination Date: 04Apr20056 Y3 C2 T7 O( S# g) h/ Z1 x. A8 M
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Machine: Philips Sonos 5500
5 G% O- }5 @/ P) T3 S, n$ K- gFrequency: 2-4 MHz, 3-8 MHz2 l3 [; p/ ~0 L o8 `! _9 z) T
Type: Transthoracic
( g0 I% Q* l8 S+ N! }2 iQuality: C$ g. o/ `' y+ L- @
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M-Mode Echocardiogram (cm)
! {* m0 _: w5 i' x+ A( sLVDd 2.70
) \' c9 P8 a# q; |" DLVDs 1.68' X) p& O$ U3 w* k, l$ c
LVPWd 0.67
, _0 K4 a+ [ r8 A) t1 |LVPWs 0.79
- W: ~$ U; x4 d3 D4 Y# qAo 2.18
^2 m4 e9 v8 v* n( r4 I, `LA 1.58: p+ C- q. r, p
LVEF 69.7%1 N4 ?& u, N' n3 Z0 S- y
LVFS 37.6%
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! }8 F, }' F8 S: f1 ]* |. cSpectral Doppler Echocardiogram (m/s) 2 N! k9 p: D% p0 [' f8 r
AAo 1.7) C$ k2 ^" H% ~; U( o
Dao 2.4
2 x3 A: v/ M+ n+ x: Z$ u' |, gMV 0.8
) a8 ~5 u X' P* ?7 ]7 ATV 1.26 x% \" j+ O; e* b2 O0 M
4 O L6 r, F- q4 @, g
Color Doppler Echocardiogram( J8 E# \& d( d% k& c2 x2 |% [& E
MR Negative( b9 Z' x5 n6 E- n, ^6 l6 E
AI Mild
8 c4 b* ~6 s! rTR Negative1 u8 g, p( Z( F6 i" L* `; K$ Z
PI Negative
& y# d/ p& w5 W) d8 r, _" \4 bNo interatrial shunting4 F* R! m [" @5 h* L" R( S
Interventricular shunting in both directions
( ~% N: q6 k. ?: WSystemic to pulmonary artery shunting
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Findings:' y7 x, N" N; g& z
Chambers and valves are in normal sequence and position. Both ventricles are enlarged. Aorta is enlarged and overriding on ventricular septum. Pulmonary valve and part of the main pulmonary artery are atretic. Left pulmonary artery displayed unclearly, with a diameter of 0.32 cm at the beginning. The diameter of right pulmonary artery is 0.28 cm. Atrial septum is intact with a malaligned ventricular septal defect. A-V valves open and close normally. Right Aortic Arch. Major aortopulmonary collateral arteries. Subaortic left innominate vein.8 ?( A# C2 D$ }9 k1 e4 \4 p: r
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Interpretation:, u3 V$ u+ e$ E4 r1 b0 X0 y
Pulmonary atresia / ventricular septal defect.
9 o" {/ p, H; u6 h, d+ m9 @; PMajor aortopulmonary collateral arteries. 0 A) R( t/ @% g' h) c1 A8 U
Subaortic left innominate vein.$ y' ~' }* @' U4 e4 r. s) o! b
Increased blood flow speed in DAo.' x( H, s Q- i5 X1 H( K; ^" P/ P
1 [3 g* L1 @( P7 @7 uCardiac catheterization:9 s5 y T8 x* v" @ V7 u/ B9 l
1. Path: RFV-IVC-RA-RV
2 ]/ f& k K) N- m, A$ r; H; _) y |-SVC
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RFA-DAO-AAO-LV+ y. ]9 X- z7 o2 ~
2. Oxygen (%): DAO 80%
5 l# K6 m" D- U3. Pressure (mmHg): RV=LV=DAO=92 mmHg - E1 _( I3 Q* L- | i. d" F5 N
4. Imaging: malaligned ventricular septal defect; PA; MACAs; No COA; No PDA. 6 d; W' J7 Y) X
5. Diagnosis: Pulmonary atresia / ventricular septal defect with aortopulmonary collateral arteries.
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" j' Q, n( |+ o[ 本帖最后由 EmmaMom 于 2009-2-13 03:12 编辑 ] |
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IP卡
发表于 2009-2-12 13:49:39
楼主
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