|
|
<P ><FONT size=3>宝宝出生第一天检查心脏有杂音、口唇青紫<FONT face="Times New Roman">(</FONT>其它部位不会青紫<FONT face="Times New Roman">)</FONT>，后来做了<FONT face="Times New Roman">B</FONT>超，结果提示新生儿动脉导管未闭及卵圆孔未闭<FONT face="Times New Roman"> (</FONT>结果如下所附<FONT face="Times New Roman">)</FONT>。医生当时说六个月后再做<FONT face="Times New Roman"> B </FONT>超复查，期间如有感冒要引起注意，不需额外护理。现在已满三个月，宝宝发育正常，心脏有轻微杂音，比以前好。但哭时口唇青紫还是较明显。不哭时口唇青紫症状比以前好，基本看不出口唇青紫。但还是担心<FONT face="Times New Roman">……<p></p></FONT></FONT></P>' y$ U* H( d& N. {# O
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>" a; \1 C/ I. {
<P ><FONT size=3>请问医生：<p></p></FONT></P>
; e% o& l' E% N* l! f$ @ q2 p<P ><FONT face="Times New Roman"><FONT size=3>1.</FONT> </FONT><FONT size=3>从当时<FONT face="Times New Roman"> B </FONT>超结果看，问题是否严重？是否要尽量避免宝宝哭闹？<p></p></FONT></P>1 X; p7 m* Z. ^5 Y @) a3 y ^
<P ><FONT face="Times New Roman"><FONT size=3>2.</FONT> </FONT><FONT size=3>动脉导管及卵圆孔两种情况的自然闭合的可能性有多高？<p></p></FONT></P>
! I# i2 E5 K/ |0 W6 h0 ?. E<P ><FONT face="Times New Roman"><FONT size=3>3.</FONT> </FONT><FONT size=3>是否六个月再做<FONT face="Times New Roman"> B </FONT>超？平时要注意哪些问题？<p></p></FONT></P>) S7 j) F" Q: e# ]3 p" y, q
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>4 q1 ]( G; Z* y+ N6 X7 Y/ n
<P ><FONT size=3>本人在外地，希望能答复，谢谢！<p></p></FONT></P>
H. {% u- ?) s) p4 n6 h3 B<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P> |+ H& _( o8 f8 D
<P ><FONT size=3>附：<FONT face="Times New Roman"> <p></p></FONT></FONT></P>
0 F& Q6 O, J, g0 q$ A. G( v<P ><B>超声影像科检查报告单</B><B><p></p></B></P>
8 C" u, B9 [6 U& u<P ><FONT face="Times New Roman" size=3> </FONT></P>
; [3 |% k( z ~3 E( m1 q<P ><FONT size=3>性别：男<FONT face="Times New Roman"> </FONT>年龄：<FONT face="Times New Roman">1 </FONT>天<FONT face="Times New Roman"> </FONT>仪器型号：<FONT face="Times New Roman">VV7(1) </FONT>检查部位：心脏<p></p></FONT></P>
+ d7 |7 ^/ l2 v9 o! X<P ><FONT face="Times New Roman" size=3> </FONT></P>! N; E$ {5 h/ l# S% S! p, f" E( d
<TABLE cellSpacing=0 cellPadding=0 border=1>! ^; h/ o7 s4 i# V
1 s* [' \* I, |
<TR > V5 K* ^0 T& `' e: x A8 x
<TD vAlign=top width=344 colSpan=2>
7 v3 g! ^- |- R0 X& k<P >心脏测值（<FONT face="Times New Roman">mm</FONT>）<p></p></P></TD>
" |% V" }' `" O' t8 B0 g( Z+ `<TD vAlign=top width=151>& _0 ?/ I ?1 l( s
<P ><FONT face="Times New Roman">Doppler</FONT>检查<FONT face="Times New Roman">(m/s)<p></p></FONT></P></TD>
, |2 f- A5 |, L( f; Z( \<TD vAlign=top width=178>
2 g2 n. [9 ~! c# A2 t# y<P >心功能检查<p></p></P></TD>8 t3 Z0 `# g/ O6 J6 k: s
<TD width=1>8 r- u- o1 [! {
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
! r) n! V- Q) j) U. \0 b/ }<TR >) l, h. K7 n: Q, J: o
<TD vAlign=top width=165>! J5 m% n! ^6 Y: B! u5 o
<P ><FONT face="Times New Roman">RVOT 7mm<p></p></FONT></P></TD>
. @. {! P+ X4 @<TD vAlign=top width=179>
, O6 N2 @: P: i+ [5 X. i<P ><FONT face="Times New Roman">RVDd 10mm<p></p></FONT></P></TD>
' E( S/ [/ `/ U4 l4 i. h5 X<TD vAlign=top width=151>
* `* l# m$ b$ x/ f( `: x<P ><FONT face="Times New Roman">MVE 0.64 m/s<p></p></FONT></P></TD>* ^; C* r3 m7 i8 |# `8 ?; d% x
<TD vAlign=top width=178># s& h, {4 _" {
<P ><FONT face="Times New Roman">EF 70%<p></p></FONT></P></TD>$ w( q. x _0 o* [8 t( @
<TD width=1>
0 r) r3 f7 _3 y& u% y. K<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
$ K7 F& V( w: P% ]+ n8 c" \<TR >* Z- n: h: r# S5 y* u2 I
<TD vAlign=top width=165>
! j+ d) s- Z) g" R) {- Z& S3 ^<P ><FONT face="Times New Roman">LVDs 10mm<p></p></FONT></P></TD>, a9 C# G5 u* a/ f9 S" x# k- y
<TD vAlign=top width=179>
1 O( |) J* ^5 T5 t( F" t<P ><FONT face="Times New Roman">LVDd 15mm<p></p></FONT></P></TD>. a# B; A& }% z7 B8 q4 E
<TD vAlign=top width=151>- i' c/ T$ s R( L# O/ n8 p0 [8 f
<P ><FONT face="Times New Roman">MVA 0.52 m/s<p></p></FONT></P></TD>
4 r) J6 p2 }. u" \$ m<TD vAlign=top width=178>, h3 e2 }1 L x {# G- Y* t
<P ><FONT face="Times New Roman">FS 36%<p></p></FONT></P></TD>0 ]9 b5 [! w) Q2 ]* [
<TD width=1>
+ L! t1 p* R9 u* [0 n6 o& c- R<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
3 N0 J4 k+ _7 P& e, [<TR >
! U: V8 S0 a R<TD vAlign=top width=165>
6 B' r; `4 Z/ J5 `<P ><FONT face="Times New Roman">AO 8mm<p></p></FONT></P></TD>, O j( d( h6 k( t" c& m
<TD vAlign=top width=179>" ]* n. S9 i4 u# ?9 L
<P ><FONT face="Times New Roman">LA 9mm<p></p></FONT></P></TD>6 F _8 }2 b/ c. g4 b0 z! \; e0 v& n
<TD vAlign=top width=151>5 v) v# n: }$ X) g: N
<P ><FONT face="Times New Roman">TVE 0.35 m/s<p></p></FONT></P></TD>
! E6 i" s+ H7 }( W/ a7 V<TD vAlign=top width=178>
; I, ?) R+ d7 t/ v8 [- e) r0 K<P ><FONT face="Times New Roman"> </FONT></P></TD>+ q+ t, U- `3 x! k' a0 g
<TD width=1>& T: n) t9 F% j0 Z
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
6 H# s% F0 z. \1 k4 x% G: F$ a<TR ># T% q) O7 n& A# D$ L* ]8 g
<TD vAlign=top width=165>& F4 P9 V% D2 x" n
<P ><FONT face="Times New Roman">LVSd 4mm<p></p></FONT></P></TD>
( ` W- k8 [" W. G, o' [$ P<TD vAlign=top width=179>
& [' p/ n/ n% y1 [8 x& D1 t<P ><FONT face="Times New Roman">IVS</FONT>搏动幅度<FONT face="Times New Roman"> 3mm<p></p></FONT></P></TD>
5 q1 t; Z' m& o w, y<TD vAlign=top width=151>; c% @! `9 N. j+ V" X
<P ><FONT face="Times New Roman">TVA 0.31 m/s<p></p></FONT></P></TD>3 Q7 W" ?' m/ I5 ~2 T
<TD vAlign=top width=179 colSpan=2>" K+ f! x% l! L7 X B. j( R
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
, O' C* q- {% ~5 l& G, a5 U3 i& r<TR >5 z& ]+ G4 B/ Q5 C8 ~" S7 i
<TD vAlign=top width=165>
1 m- v3 S# Q+ h0 h0 `2 J# ~<P ><FONT face="Times New Roman">LVPWd 4mm<p></p></FONT></P></TD>% H9 { K$ h i) j0 B' C! `
<TD vAlign=top width=179>
* n& k) x0 T) E9 P' h+ P% {+ }% Z- `<P ><FONT face="Times New Roman">LVPW</FONT>搏动幅度<FONT face="Times New Roman">9mm<p></p></FONT></P></TD>, A( s l9 w7 o9 {
<TD vAlign=top width=151>
" R& S0 D9 a% c+ S<P ><FONT face="Times New Roman">AV 0.79 m/s<p></p></FONT></P></TD>
5 E3 g- M1 u: u( y$ }4 f& l- z2 P<TD vAlign=top width=179 colSpan=2>
9 w- E2 c' h3 j% k% |% i<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>" ]1 _( @$ O. y* M( w
<TR >2 l. [5 T3 A. C3 i3 h6 _4 x f: y, x
<TD vAlign=top width=165>$ N8 i( ^7 T# e1 m W
<P ><FONT face="Times New Roman"> </FONT></P></TD>
' n/ `. t. Q! U& j8 w<TD vAlign=top width=179>$ _3 Y( C B( Y
<P ><FONT face="Times New Roman"> </FONT></P></TD>
; m8 `1 E7 w, Z9 \6 P0 X1 z<TD vAlign=top width=151>
4 M2 b" G: ?/ w% |" @) Y, p! V i<P ><FONT face="Times New Roman">PV 0.89 m/s<p></p></FONT></P></TD>! l4 H% R& Q% W5 _
<TD vAlign=top width=179 colSpan=2>
- e( X4 J' _% R# ?" y6 i" L<P ><FONT face="Times New Roman"> </FONT></P></TD></TR></TABLE>
6 h6 e" u N# m( N( d, b3 e9 _<P ><FONT face="Times New Roman" size=3> </FONT></P>3 q) g0 B0 K- `! ^3 ^! O. W# d
<P ><FONT size=3><B>超声描述：</B><B><p></p></B></FONT></P>5 z" N4 \ p9 `
<P ><FONT size=3>升主动脉内径正常。肺动脉内径正常。主<FONT face="Times New Roman">-</FONT>肺动脉间见异常交通，内径约<FONT face="Times New Roman">3mm</FONT>。心瓣膜回声纤细柔软，启闭良好。各心腔未见明显扩大。左室壁不厚，静息状态室壁运动正常。房室间隔连续完整。心包腔未见液性暗区。<FONT face="Times New Roman">Dopple&CDFI</FONT>：上述主<FONT face="Times New Roman">-</FONT>肺动脉间见异常连续性分流，峰速度约<FONT face="Times New Roman">3.1m/s</FONT>。三尖瓣口见少量返流束峰值速度<FONT face="Times New Roman">2.1m/s</FONT>。房水平中部见细束左向右分流。<p></p></FONT></P>8 x8 t* x) V. Z4 V
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
. P6 u$ F3 X7 h6 L: n/ H. c2 a) P<P ><FONT size=3><B>超声描述：</B><B><p></p></B></FONT></P>% h/ a0 N7 F- C- H
<P ><FONT size=3>新生儿动脉导管未闭。<p></p></FONT></P>9 T- m6 |5 w8 i' Y# W7 m
<P ><FONT size=3>卵圆孔未闭。<p></p></FONT></P>
, l2 a2 W' L& P<P ><B><FONT face="Times New Roman" size=3> </FONT></B>诊断时间：<FONT face="Times New Roman">2005-01-25</FONT></P> |
|
IP卡
发表于 2005-4-26 20:12:01
提升卡
置顶卡
锁帖卡
变色卡
千斤顶
楼主
发表于 2005-4-26 23:25:19
