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发表于 2006-4-8 00:41:36
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<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">8个半，男孩，<st1:chmetcnv UnitName="kg" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11Kg</st1:chmetcnv>，<st1:chsdate w:st="on" Year="2006" Month="4" Day="7" IsLunarDate="False" IsROCDate="False">06年4月7日</st1:chsdate>检查结果如下：<p></p></P>$ s/ h, H. w- ?7 V
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">升主动脉径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv UnitName="mm" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11mm</st1:chmetcnv>；窦部前后径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；右室流出道<st1:chmetcnv UnitName="mm" SourceValue="19" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">19mm</st1:chmetcnv>；左房前后径<st1:chmetcnv UnitName="mm" SourceValue="27" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">27mm</st1:chmetcnv>；室间隔厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；室间隔振幅<st1:chmetcnv UnitName="mm" SourceValue="7" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">7mm</st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv UnitName="mm" SourceValue="37" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">37mm</st1:chmetcnv>；左室后壁厚度<st1:chmetcnv UnitName="mm" SourceValue="4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4mm</st1:chmetcnv>；左室后壁振幅<st1:chmetcnv UnitName="mm" SourceValue="9" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">9mm</st1:chmetcnv>；右室前后径<st1:chmetcnv UnitName="mm" SourceValue="13" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">13mm</st1:chmetcnv>；主肺动脉内径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；MV<st1:chmetcnv UnitName="cm" SourceValue="94" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">94cm</st1:chmetcnv>/s；TV<st1:chmetcnv UnitName="cm" SourceValue="80" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">80cm</st1:chmetcnv>/s；AV<st1:chmetcnv UnitName="cm" SourceValue="135" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">135cm</st1:chmetcnv>/s；PV<st1:chmetcnv UnitName="cm" SourceValue="112" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">112 cm</st1:chmetcnv>/s；LVEF60%；PASP27mmHg<p></p></P>! S( M2 }: K8 h+ g0 N
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">检查所见：<p></p></P># a2 O; m& ~+ u% I8 ?7 {
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">左室内径轻度增大，左室流出道偏宽，室间隔和左室后壁不厚，运动增强。室间隔膜部回声中断约4—<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>。室缺右室面可见纤维膜样回声膨出，房间隔卵孔处可见回声分离。各瓣膜形态结构及启闭运动正常。主动脉、肺动脉内径正常。<p></p></P>4 k% j S0 {7 ]9 I G
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">多普勒检查：收缩期室水平探及左向右高速分流信号V=<st1:chmetcnv UnitName="cm" SourceValue="512" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">512 cm</st1:chmetcnv>/s，PG=105 mmHg。房水平卵孔处可探及左向右分流。二尖瓣微量反流，三尖瓣少量反流。<p></p></P>! u+ f( Q% }6 G' R+ x$ }
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">检查意见：<p></p></P>
* V X4 J, T; e) o& N t3 V+ A<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">先天心脏病<p></p></P>7 W0 c9 x; U) @, k) T/ b. L8 E/ {3 ~
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">室间隔缺损（膜部）<p></p></P>3 R( Y) T8 ~; E! d; P- l, ]
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">室水平左向右分流<p></p></P>
( Y+ X' h7 q0 \<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">卵圆孔未闭<p></p></P>
; {7 H/ z5 c8 d# S8 I) n: d! o<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">房水平左向右分流<p></p></P>
" I* a& l, W" t7 Q4 {! y<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">三尖瓣少量反流<p></p></P> V( n* U5 i& V8 d- M6 ]2 ^
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%"><p> </p></P>
, `: n+ }2 {/ \! G, K2 Q<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">请问：病情怎样？是继续观察还是需要到贵院确诊？<p></p></P>谢谢！ |
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千斤顶
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