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<P ><FONT color=#000000 size=1>女儿十个月了，体重8公斤。今天带她去儿科做了检查，超声检查情况如下：</FONT></P>4 l; n# R( W! N2 }
<P > </P>
+ A; ?! @6 \0 b& ]- v; {; l<P >超声表现：</P>; r9 d2 {, W# y$ E# h
<P >主要测值：（单位：<FONT face="Times New Roman">mm</FONT>）</P>
% l' p# a) @1 S<P ><FONT face="Times New Roman">PVOT17</FONT> <FONT face="Times New Roman">A013</FONT> <FONT face="Times New Roman">LA14</FONT> <FONT face="Times New Roman">LVOT14</FONT> <FONT face="Times New Roman">LVDd27</FONT> <FONT face="Times New Roman">LVDs18</FONT></P>$ b3 d" `* ^, h! C7 ]
<P ><FONT face="Times New Roman">LVPW4/4</FONT> <FONT face="Times New Roman">IVS4/5</FONT> <FONT face="Times New Roman">RV10</FONT> <FONT face="Times New Roman">PA14</FONT> <FONT face="Times New Roman">RA23</FONT></P>
( c& [9 J, Y6 n1 _<P >最大流速（单位：<FONT face="Times New Roman">m/s</FONT>）</P>$ h( U- U* y- O0 G+ r
<P ><FONT face="Times New Roman">MV107</FONT> <FONT face="Times New Roman">TV1.04</FONT> <FONT face="Times New Roman">AA01.21</FONT> <FONT face="Times New Roman">MPA1.14</FONT></P>
* z" ^7 V- s; O* Z, I9 u2 `- d7 \<P >房室大小测值未见异常，室壁动度及厚度未见异常。</P>3 L. j8 E- h; S
<P >室间隔回声中断，中断处基底宽<FONT face="Times New Roman">6.2mm</FONT>，该处可见组织附着，顶端可见两处分流口，分别宽<FONT face="Times New Roman">2.1mm</FONT>与<FONT face="Times New Roman">2.8mm</FONT>，位于主动脉短轴切面<FONT face="Times New Roman">10</FONT>点至<FONT face="Times New Roman">11</FONT>点钟位置，<FONT face="Times New Roman">CDFI</FONT>于该处见左向右分流束，<FONT face="Times New Roman">CW</FONT>在缺损处记录到高速收缩期湍流，速度<FONT face="Times New Roman">2.93m/s</FONT>。房间隔连续正常，房间隔平面及主肺动脉内未见分流。</P>
$ N5 U; m4 U! B& Q<P ><p><FONT face="Times New Roman"> </FONT></p></P>
# Q* Y- I6 Y/ h<P >诊断意见：</P>
) K: n5 ^/ P* f1 @. Z6 J B; R! D* e! C<P >先天性心脏病：室间隔缺损</P>1 A* g3 U& |0 x5 e8 x( X2 N
<P align=left><FONT color=#ff0000 size=2></FONT> </P>. q( H7 V" V7 \ M% _
<P ><STRONG><FONT color=#ff3300 size=3>以下是女儿3个月时照的情况</FONT></STRONG></P>
" ?8 @+ s2 Q) v- x8 F' B/ w7 ?' @0 r<P >超声表现：</P>
2 N. Z: Q' W7 q( T: u7 h3 [<P >主要测值：（单位：<FONT face="Times New Roman">mm</FONT>）</P>9 I% o: h! I+ e- t B
<P ><FONT face="Times New Roman">PVOT15</FONT> <FONT face="Times New Roman">A012</FONT> <FONT face="Times New Roman">LA14</FONT> <FONT face="Times New Roman">LVOT13</FONT> <FONT face="Times New Roman">LVDd24</FONT> <FONT face="Times New Roman">LVDs14</FONT></P>( V9 S# l. | }; }& y
<P ><FONT face="Times New Roman">LVPW3/6</FONT> <FONT face="Times New Roman">IVS4/4</FONT> <FONT face="Times New Roman">RV9</FONT> <FONT face="Times New Roman">PA11</FONT> <FONT face="Times New Roman">RA18</FONT></P>
- `9 } N& y/ t6 G% s& f<P >最大流速（单位：<FONT face="Times New Roman">m/s</FONT>）</P> c I3 w8 a5 G: l1 D: i+ O% L
<P ><FONT face="Times New Roman">MV1.30</FONT> <FONT face="Times New Roman">TV0.86</FONT> <FONT face="Times New Roman">AA01.36</FONT> <FONT face="Times New Roman">MPA1.19</FONT></P>
" B2 V: E$ i+ N4 [8 o/ |5 \2 u<P >房室大小测值未见显著异常，室壁动度及厚度未见异常。</P>
) O k7 Y7 ~( }' Q+ I6 G<P >室间隔靠十字交叉处向右室膨出假性室隔瘤，基底部宽<FONT face="Times New Roman">7mm</FONT>，顶端见两处左向分流束，分别宽<FONT face="Times New Roman">2mm</FONT>与<FONT face="Times New Roman">3mm</FONT>，位于主动脉短轴切面<FONT face="Times New Roman">9</FONT>点至<FONT face="Times New Roman">11</FONT>点钟位置，<FONT face="Times New Roman">CW</FONT>在缺损处记录到高速收缩期湍流，速度<FONT face="Times New Roman">3.36m/s</FONT>。</P>- ?- r* K: L7 U3 E+ Q/ j
<P >房间隔中部记录到左向右分流彩束，宽<FONT face="Times New Roman">4mm</FONT>。</P>4 n7 M, }/ e% ]. p
<P >右冠状动脉主干内径<FONT face="Times New Roman">2mm</FONT>，可见长<FONT face="Times New Roman">6mm</FONT>。</P>9 p A% h# u1 B; ~( s' k! ?
<P >左冠状动脉主干内径<FONT face="Times New Roman">2mm</FONT>，可见长<FONT face="Times New Roman">5mm</FONT>。</P>
6 F0 k: v0 u2 j6 n. b/ l( \<P >收缩期三尖瓣口反流束长<FONT face="Times New Roman">7mm</FONT>，宽<FONT face="Times New Roman">3mm</FONT>。</P>
% ?' s8 U7 C8 t& A. a2 S, Q<P ><p><FONT face="Times New Roman"> </FONT></p></P>
% w! L9 Q C* G$ q9 m, e<P >诊断意见：</P>" i5 T) `* d4 |+ h4 E9 ^
<P ><FONT face="Times New Roman">1 </FONT>先天性心脏病：室间隔缺损</P>
% M+ L% y% v% `" E+ B<P ><FONT face="Times New Roman">2 </FONT>房间隔卵圆孔未闭</P>
. |9 ` d [+ f" H2 ~<P ><FONT face="Times New Roman">3 </FONT>冠状动脉未见扩张</P>* L3 @7 R' s% I/ O3 M$ Y( I$ [
<P ><FONT face="Times New Roman">4 </FONT>三尖瓣反流（轻度）</P>. R$ D3 w) m' R
<P > </P>, ~: ^+ H. v3 B; @. e) S
<P ><FONT color=#ff0000 size=2></FONT> </P>
& t" m8 a# N4 S" P<P ><FONT color=#ff0000 size=2>请问我女儿的病情发展趋势是好还是坏，有没有自愈的可能性？</FONT></P>5 U- \; D5 |6 ]- X1 E& J6 i, r
<P ><FONT color=#ff0000 size=2></FONT> </P>5 g) r7 M* E9 ` d
<P ><FONT color=#ff0000 size=2>如不能自愈，应该选择介入治疗还是手术治疗？能不能满足介入的条件？如果不能，为什么？听说介入术对小孩的创伤要小一些，也不愿意女儿留下手术疤痕。</FONT></P>5 W" ~6 {7 k: G3 w. O, d3 B2 ~ |; k* C
<P ><FONT color=#ff0000 size=2></FONT> </P>
. h; ^, v; s; I+ O; l! M! Z<P ><FONT color=#ff0000 size=2>如果必须做手术，最好是什么时候？</FONT></P>' ^2 |- r2 L+ p- }
<P ><FONT color=#ff0000 size=2></FONT> </P>
9 Z) _' i: C3 R V" A% G6 M<P ><FONT color=#ff0000 size=2>真的很着急，望大家给点建议！！</FONT></P> |
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