<P >右室<FONT face="Times New Roman"> </FONT>流出道；<FONT face="Times New Roman">29MM </FONT>舒张径；<FONT face="Times New Roman">23MM</FONT></P>
& i; \/ j+ B; ]( a# z# o% q+ m<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>
( F0 O b0 }3 z" |7 R7 C<P >左室<FONT face="Times New Roman"> </FONT>收缩末期<FONT face="Times New Roman"> 22mm </FONT>舒张末期<FONT face="Times New Roman">31mm </FONT>后壁厚度<FONT face="Times New Roman">5mm</FONT></P>
. @# Y# e9 c. H2 L) m<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>
9 `. [/ L" i3 b8 f<P >主动脉<FONT face="Times New Roman">17mm</FONT></P>. F- Q. N' K7 U
<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P> a) K% ]' Q. ^6 Y u; B# ~
<P ><FONT face="Times New Roman"> <p></p></FONT></P>, G1 g" O" j& u. I' [( P1 k
<P >左心功能<p></p></P>% Q! _3 V! Y: X
<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P>
9 K3 F# v7 H4 [- T! X( Y* W, v, g- Y) ~<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P> o/ C9 Z8 a1 G. I
<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P>
( J0 d; a, `+ z4 s2 V9 s7 f/ ^: o<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>
; o B" W* x3 l; g3 f0 S* [& h& l<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>
8 D3 Q; T) n# A4 [5 X8 `# e<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>
& F5 J7 p. s: O" s6 {4 H<P >心率（<FONT face="Times New Roman">HR</FONT>）<FONT face="Times New Roman"> 113</FONT>次<FONT face="Times New Roman">/</FONT>分</P>
& E5 v9 Z( S/ Q- D" [' A<P ><FONT face="Times New Roman"> <p></p></FONT></P>. v" X) l, Z. D. X: i$ R
<P >彩色多谱勒血流<p></p></P>
6 o/ R- y& L7 r( g* Y<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>
; f1 a% N, g9 g6 r) T0 l6 t<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>
/ n f) }" d) d<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>
: ]3 j3 D% }9 p5 F7 j<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>
( M' w& ~6 V/ v% s! ]<P >返流<p></p></P>9 `) C; z# X( V
<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>4 i. d3 t* @) b' A/ b
<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P>
- L: I" k5 x. ^3 A, y9 F<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
9 U/ k5 K" S4 h; l( b4 p5 N# |, S. X<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>$ ~1 I6 v/ v( Q* J+ L; r
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
/ J5 B. u' N% P1 Y: B0 r, k* l/ G$ a<P >分析</P>% y. ]0 R6 M5 n) x! m3 z
<P >心房正位<FONT face="Times New Roman"> </FONT>心室右（柈<FONT face="Times New Roman"> </FONT>）大血管位置正常<p></p></P>
' a, p: V/ f+ {' B R: ]<P >右心扩大<FONT face="Times New Roman"> </FONT>肺动脉（坢）塞<FONT face="Times New Roman"> </FONT>心尖四腔切面，见左上下肺静脉汇入左房，右上肺静脉显示不满意未汇入左房，冠状静脉窄扩张<FONT face="Times New Roman">0.9 cm</FONT>，室间隔连续良好，各瓣膜浮动形态正常，室壁厚度正常，右室壁主动增强</P>. ]+ z( {0 k7 `
<P ><FONT face="Times New Roman">CDF2</FONT>，<FONT face="Times New Roman">CW</FONT>，<FONT face="Times New Roman">PW</FONT>：心尖五腔房间隔顶部上<FONT face="Times New Roman">C-R</FONT>红色穿隔血流束，流束宽<FONT face="Times New Roman">0.9 cm</FONT>，<FONT face="Times New Roman">V=139 cm/s</FONT></P>
$ [6 u! c! l9 U( o4 t# p<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>
0 x( h7 D( @% x; a<P ><B >超生诊断<p></p></B></P>! [; T# I& x3 [/ E2 I' ^5 N7 `* u" S
<P >先心病</P>' d& \$ i7 \2 {9 p5 c+ ]
<P >右心扩大</P>! a$ c1 I' d6 \1 H) W
<P >部分肺静脉异位分流可能性大</P>
4 w0 s" l! C4 y0 x<P >上腔型房间隔缺损不除外</P>+ v7 D8 n! S" h# h8 R3 N' y9 X
<P >冠状静脉（窦）扩张</P>
- y# j& K4 Y8 c; z( d" E7 Y<P >三尖瓣反流</P>
$ Q3 I2 \! b8 x<P >建议进一步检查</P>
C9 ~+ Q. O! H3 M<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>& g8 U( }+ N9 @/ R1 M. r
<P ><FONT face="Times New Roman"></FONT> </P>
: b' e: w- R5 W8 }8 l<P ><FONT face="Times New Roman">请医生和大家帮帮忙看看我儿子房缺0.5cm+肺静脉异位+三尖瓣反流，三种情况严重吗，手术是不是比较复杂，可不可以做介入？儿子体重35，身高1.05，体质好，不常感冒</FONT></P>' h. F8 m% @, F* E
<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
IP卡
发表于 2006-2-20 07:47:16
提升卡
置顶卡
锁帖卡
变色卡
千斤顶
发表于 2006-2-21 03:08:06
楼主
