[原创]4-5mm膜周部室缺4岁半男孩能否介入治疗

jacky8631

<P  align=center><FONT face="Times New Roman">4-5mm</FONT>膜周部室缺<FONT face="Times New Roman">4</FONT>岁半男孩能否介入治疗<p></p></P>
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<P ><FONT face="Times New Roman">●</FONT>患者性别：男<FONT face="Times New Roman">    </FONT>患者年龄：<FONT face="Times New Roman">4</FONT>岁半<FONT face="Times New Roman">   </FONT>家庭住址：江西省吉安市<p></p></P>
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<P ><FONT face="Times New Roman">●</FONT>健康状况：身体健康，感冒不多，与正常儿童毫无区别，无任何临床表现。<p></p></P>
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<P ><FONT face="Times New Roman">●</FONT>以往的诊断和治疗经过及效果：<FONT face="Times New Roman"> <BR>    </FONT>出生三个月、近日和一岁半时分别在江西吉安市中心医院和北京儿童医院做过彩超。<FONT face="Times New Roman"> <BR><BR>●</FONT>辅助检查：<FONT face="Times New Roman"> <BR>   2005</FONT>年<FONT face="Times New Roman">7</FONT>月<FONT face="Times New Roman">9</FONT>日江西省吉安市中心人民医院彩超结果<FONT face="Times New Roman"> <BR></FONT>性别：男<FONT face="Times New Roman"> </FONT>年龄<FONT face="Times New Roman">:4</FONT>岁半<FONT face="Times New Roman"> </FONT>体重<FONT face="Times New Roman">:15</FONT>公斤<FONT face="Times New Roman"> </FONT>心率：<FONT face="Times New Roman">113</FONT>次<FONT face="Times New Roman">/</FONT>分<FONT face="Times New Roman"> <BR>   </FONT>一、一般测值<FONT face="Times New Roman"> <BR>   </FONT>右室流出道内径<FONT face="Times New Roman">13.8mm </FONT>室间隔厚度<FONT face="Times New Roman">5mm <BR></FONT>主动脉根部内径<FONT face="Times New Roman">19.8mm </FONT>左室后壁厚度<FONT face="Times New Roman">5mm <BR></FONT>左房内径<FONT face="Times New Roman">17.8mm </FONT>左室舒张末期内径<FONT face="Times New Roman">33.5 mm <BR></FONT>右室前壁厚度<FONT face="Times New Roman"> mm </FONT>左室收缩末期内径<FONT face="Times New Roman">19.3m <BR></FONT>右室内径<FONT face="Times New Roman">13.8mm </FONT>左室内径缩短分数<FONT face="Times New Roman">42.5% <BR></FONT>主动脉根部振幅<FONT face="Times New Roman">9.4mm </FONT>左室射血分数<FONT face="Times New Roman">74.7% <BR>   </FONT>二、多普勒血流速度测值<FONT face="Times New Roman"> <BR>    E</FONT>峰<FONT face="Times New Roman">119 Cm /s A</FONT>峰<FONT face="Times New Roman">59 Cm/s E/A &amp;amp;amp;amp;amp;gt;1 <BR></FONT>肺动脉血流<FONT face="Times New Roman">96 Cm/s </FONT>主动脉血流<FONT face="Times New Roman">118 Cm/s <BR>   </FONT>三、描述<FONT face="Times New Roman">:. <BR>    </FONT>心房<FONT face="Times New Roman">,</FONT>心室不大<FONT face="Times New Roman">,</FONT>室壁无增厚<FONT face="Times New Roman">,</FONT>运动尚可，瓣膜无增厚，开放不受限。室间隔膜周部见一病样回声，其衣部约<FONT face="Times New Roman">5mm</FONT>，顶部约<FONT face="Times New Roman">4mm</FONT>。<FONT face="Times New Roman">CDFI</FONT>可见花色血流束穿出，<FONT face="Times New Roman"> </FONT>可样及左向右收缩期分流，速度<FONT face="Times New Roman">446cm/s</FONT>，分流压差<FONT face="Times New Roman">80mmhg</FONT>。<FONT face="Times New Roman"> </FONT>三尖瓣口可见<FONT face="Times New Roman"> </FONT>返流束，峰血<FONT face="Times New Roman">223cm/s </FONT>。<FONT face="Times New Roman"> <BR>   </FONT>意见：先天性心脏病，室间隔膜部瘤形成伴缺损。<p></p></P>
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/ G3 B/ J- b7 g% U<P ><FONT face="Times New Roman">●</FONT>咨询目的：<FONT face="Times New Roman"> <BR>    </FONT>我儿子的室缺现在是否急需外科手术或内科介入？是否适合做内科介入治疗？外科手术和内科介入费用各需多少？再过<FONT face="Times New Roman">2-3</FONT>年治疗，对他有无影响，届时还是否适合做介入治疗？</P>

csunn

没有影响，应该可以做介入

乐乐

<P>有点答非所问的味道。</P>
( }& V! Y/ U7 E2 s' s3 M5 u9 W4 A' F% }<P>家长经过再三考虑，寄于很大的希望地提出问题，就这么草草回答了，太让人失望了。</P>