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/ l2 `) e1 u% G: p& x<P ><p><FONT face="Times New Roman" color=#000000> 小儿在出生三天时检查说心脏有轻柔的杂音，分别于出生后45天、5个月去检查，彩超报告如下：</FONT></p></P>
5 p; y( |4 V& Z. ? M) C<P ><p><FONT face="Times New Roman" color=#000000></FONT></p> </P>% H3 w" l' E& ~3 j6 y3 ?5 C
<P ><p></p> </P># K1 r) G& ?$ {% J& G% U$ V9 x
<P ><FONT color=#000000>性别：男 年龄：<FONT face="Times New Roman">45</FONT>天</FONT></P>
, g" y) P0 k2 \% P7 N. N, z7 g<P ><FONT color=#000000>仪器型号：<FONT face="Times New Roman">philips sonos 5500 </FONT> 探头频率：<FONT face="Times New Roman">2-4MHZ</FONT>，<FONT face="Times New Roman">3-8MHZ</FONT> 检查途径：经胸 检查项目：二维、<FONT face="Times New Roman">M</FONT>型、彩色、多普勒 图像质量：<FONT face="Times New Roman">B</FONT></FONT></P>
& C# L: u- ], X% s v<P ><FONT color=#000000><FONT face="Times New Roman">M</FONT>型超声心动图（厘米）</FONT></P>
: O" L# I4 o1 \4 S( ^<P ><FONT face="Times New Roman" color=#000000>LVDd 2.31 RVDd LVIVSd LVPWd 0.21 Ao 1.19</FONT></P>
8 c. P1 V3 y" `$ E% S<P ><FONT face="Times New Roman" color=#000000>LVDs 1.46 RVDs LVIVSs LVPWs 0.55 LA 1.31</FONT></P>
3 Q0 R' V* I0 [: s7 B<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
j& C3 H8 M: `, d<P ><FONT color=#000000>心功能</FONT></P>
( f5 P# B3 T$ I4 o. m& d/ h<P ><FONT color=#000000><FONT face="Times New Roman">LVEF</FONT> <FONT face="Times New Roman">69%</FONT> <FONT face="Times New Roman">LVFS</FONT> <FONT face="Times New Roman">37%</FONT></FONT></P>
' |1 s1 H t: M<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>/ r& V# s: m0 g }+ w% {% q
<P ><FONT color=#000000>二维超声（平方厘米）</FONT></P>
) ~# p- C% t- j& G) P. q<P ><FONT color=#000000><FONT face="Times New Roman">LA</FONT> <FONT face="Times New Roman">LV</FONT> <FONT face="Times New Roman">RA</FONT> <FONT face="Times New Roman">RV</FONT> <FONT face="Times New Roman">MRA</FONT> <FONT face="Times New Roman">TRA</FONT> </FONT></P>
; L1 F2 |, ^' X' C$ D4 i2 E2 N<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
5 z5 w& V R* |1 B! l. }. T2 M i<P ><FONT color=#000000>频谱多普勒超声（米<FONT face="Times New Roman">/</FONT>秒）</FONT></P># n% k) z4 ~5 C' ]! a: s
<P ><FONT face="Times New Roman" color=#000000>AAo 1.0 DAo 1.6 LVOT RVOT MPA 1.2</FONT></P>
4 b6 Z% G0 L: \( H<P ><FONT color=#000000><FONT face="Times New Roman">MV 0.8 TV0.6 </FONT>跨瓣压差 <FONT face="Times New Roman">mmHg</FONT></FONT></P>
/ ?2 H9 W: ~/ r- b/ G. `<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>: h o/ q6 M ^
<P ><FONT color=#000000>彩色多普勒超声</FONT></P>" z, [' K8 d6 ^& r% }$ a8 Q: T
<P ><FONT color=#000000><FONT face="Times New Roman">MR</FONT> 阴性 <FONT face="Times New Roman">AI</FONT> 阴性 <FONT face="Times New Roman">TR</FONT> 轻微<FONT face="Times New Roman">2.2m/s </FONT> <FONT face="Times New Roman">PI</FONT> 轻微</FONT></P>
r& y! [/ h7 p0 L<P ><FONT color=#000000>心房水平左向右分流 心室水平无分流 大动脉水平左向右分流</FONT></P>2 Z) _! |1 V+ l, j4 b" z1 P0 O2 L
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
; {: x* N% g! p- T<P ><FONT color=#000000>超声所见</FONT></P>
, Z, U% D1 |# |1 ?<P ><FONT color=#000000>心脏位置及连接正常，房室腔无扩大，左室收缩活动可。主动脉、肺动脉无增宽。各瓣膜开放活动正常。卵圆孔未闭，细束左向右分流。室间隔完整。左位主动脉弓。动脉导管未闭，细丝左向右分流，二维显示不清。</FONT></P>5 k8 c5 _& y" g* e" b
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
& }* u4 Z: s: h<P ><FONT color=#000000>提示</FONT></P>
; i- r. M+ z. h# I& s<P ><FONT color=#000000>卵园孔未闭</FONT></P>
6 i! r- w" ?* S2 |7 y<P ><FONT color=#000000>动脉导管未闭（小）</FONT></P># T+ {4 q# b3 P; U; Z
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
! R, r& w. N% a% W8 K8 [( ?! y+ b<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>% Q1 W; b7 k x) k# J
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>" S8 }% ]7 M3 ]9 D8 t, {* @
<P ><FONT color=#000000><FONT face="Times New Roman">5</FONT>个月后检查结果如下，检查时有轻微咳嗽</FONT></P>8 t- F6 @' c t# Y1 x$ x' N D* y3 n* [
<P ><FONT color=#000000>性别：男 年龄：<FONT face="Times New Roman">5</FONT>个月</FONT></P>
% q* ~9 Q* T3 _' \) d2 K. B: q$ Q<P ><FONT color=#000000>仪器型号：<FONT face="Times New Roman">philips sonos 5500 </FONT> 探头频率：<FONT face="Times New Roman">2-4MHZ</FONT>，<FONT face="Times New Roman">3-8MHZ</FONT> 检查途径：经胸 检查项目：二维、<FONT face="Times New Roman">M</FONT>型、彩色、多普勒 图像质量：<FONT face="Times New Roman">B</FONT></FONT></P>1 x, f, w, j* d6 w7 ]0 I
<P ><FONT color=#000000><FONT face="Times New Roman">M</FONT>型超声心动图（厘米）</FONT></P>
& {& C7 a$ k3 O5 T<P ><FONT face="Times New Roman" color=#000000>LVDd 2.35 RVDd LVIVSd LVPWd 0.32 Ao 1.34</FONT></P>$ p6 w# |" U5 k. z' M/ q
<P ><FONT face="Times New Roman" color=#000000>LVDs 1.41 RVDs LVIVSs LVPWs 0.57 LA 1.41</FONT></P>& p4 `+ J }4 p$ G/ M7 J: ?
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>( Q& u. d Y$ w8 F; i! t6 s" \( b
<P ><FONT color=#000000>心功能</FONT></P>
2 l; @+ F% ?1 t! r3 G<P ><FONT color=#000000><FONT face="Times New Roman">LVEF</FONT> <FONT face="Times New Roman">73%</FONT> <FONT face="Times New Roman">LVFS</FONT> <FONT face="Times New Roman">40%</FONT></FONT></P>/ `- Q# d6 S, d0 x- T: c( J' k
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
: b3 C* V& K- V/ w9 f<P ><FONT color=#000000>二维超声（平方厘米）</FONT></P>, |; v- v, W/ O( M% S5 O
<P ><FONT color=#000000><FONT face="Times New Roman">LA</FONT> <FONT face="Times New Roman">LV</FONT> <FONT face="Times New Roman">RA</FONT> <FONT face="Times New Roman">RV</FONT> <FONT face="Times New Roman">MRA</FONT> <FONT face="Times New Roman">TRA</FONT> </FONT></P>
* t, O. ]8 N* l6 X5 u<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
0 ~' \7 Z! P0 X<P ><FONT color=#000000>频谱多普勒超声（米<FONT face="Times New Roman">/</FONT>秒）</FONT></P>5 y+ q2 u$ F* I( E3 t$ _5 I
<P ><FONT face="Times New Roman" color=#000000>AAo 1.1 DAo 1.2 LVOT RVOT MPA 1.6</FONT></P>
+ s$ s; C# J* R& E. s<P ><FONT color=#000000><FONT face="Times New Roman">MV 0.9 TV0.6 </FONT>跨瓣压差 <FONT face="Times New Roman">mmHg</FONT></FONT></P>
. k6 X9 `% L% J5 C, X# P<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
' a+ x2 E* k5 w2 m6 e<P ><FONT color=#000000>彩色多普勒超声</FONT></P>
2 g" h0 e+ L- B1 s" v) K: M<P ><FONT color=#000000><FONT face="Times New Roman">MR</FONT> 阴性 <FONT face="Times New Roman">AI</FONT> 阴性 <FONT face="Times New Roman">TR</FONT> 轻微 <FONT face="Times New Roman">PI</FONT> 轻微</FONT></P>
0 i2 s7 J( x2 d9 d+ L- `- T. M$ i<P ><FONT color=#000000>心房水平无分流 心室水平无分流 大动脉水平左向右分流 分流<FONT face="Times New Roman">2.5m/s</FONT></FONT></P>
0 x2 r9 ]5 r9 [<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>5 n" U* V. v$ x) A6 T+ F R
<P ><FONT color=#000000>超声所见</FONT></P>
, A( S. L5 p8 X) c' S<P ><FONT color=#000000>心脏位置及连接正常。各房室腔无明显增大，左室收缩活动可。主动脉无增宽。肺动脉稍增宽，肺动脉总干流速<FONT face="Times New Roman">1.6m/s</FONT>，左肺动脉流速<FONT face="Times New Roman">1.2m/s</FONT>。各瓣膜开放活动可。房间隔未见明显缺损，心房水平无明显分流。室间隔完整。动脉导管二维直接征象不明显，彩色多普勒超声显示左肺动脉起始处舒张期细束左向右分流，分流速<FONT face="Times New Roman">2.5m/s</FONT>。左位主动脉弓。</FONT></P>
0 l+ `( Z/ L# ]# p5 N: w6 `) S7 d( d<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
( l, W7 K" R5 E( _4 L/ {<P ><FONT color=#000000>提示</FONT></P>
( _' a6 P! w4 f4 t<P ><FONT color=#000000>动脉导管未闭（细束分流）</FONT></P>
6 U. A6 q4 e! e; m' I$ |<P ><FONT color=#000000>右肺动脉流速稍增快<FONT face="Times New Roman">2.0m/s</FONT></FONT></P>/ p. n# C* W" n. I$ c; g
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
5 K& s" `: e1 }1 K D% y<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>$ E; d" G% ]8 ^- c7 `) P/ S" s
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
$ K m4 t8 ? _8 i( }7 j<P ><FONT color=#000000>医生建议半年以后复查。我想请教专家的是：轻微的咳嗽是否会引起肺动脉的增宽？从这两份检查的报告来看，动脉导管能否自愈？自愈的时间是一周岁以前还是六个月以前？<FONT face="Times New Roman"> </FONT></FONT></P>
! [/ O: ?9 X, O4 t* M) l<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
) j4 E: S1 v' v<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
7 O2 h; ^% W+ W% M<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
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发表于 2005-9-24 20:26:40
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