咨询小儿先天心脏病是否可以打预防针，附心超结果

xingyu

<P >宝宝在<FONT face="Times New Roman">3</FONT>个半月时心超发现<FONT face="Times New Roman">:<p></p></FONT></P>
+ F8 f  f3 ~. `2 m- L+ v<P >一、普通心脏<FONT face="Times New Roman">M</FONT>型超声可检查：<p></p></P>
<P >主动脉末期根部内径<FONT face="Times New Roman">10mm, </FONT>左室舒张末期内径<FONT face="Times New Roman">20mm, </FONT>收缩末期左室后壁<FONT face="Times New Roman">5mm;<p></p></FONT></P>
( f4 w# k, x" W& \, ^. p' e3 z<P >左房内径<FONT face="Times New Roman">13mm,  </FONT>左室收末期内径<FONT face="Times New Roman">13mm,<p></p></FONT></P>
<P >室间隔<FONT face="Times New Roman">3.2mm, </FONT>舒张末期左室后壁<FONT face="Times New Roman">3mm</FONT>；<p></p></P>
' j+ k" W5 X! l5 K! Y& A% _; Z<P >二、普通二维超声心动图和彩色多普勒超声检查：<p></p></P>
- I2 X6 Z; j8 d3 l7 {' P" g<P >主肺动脉内径<FONT face="Times New Roman">12mm,<p></p></FONT></P>
% \3 F* _9 ?2 F" _) |<P >三、左心功能及血液动力学测定：<p></p></P>
<P >左室舒张末期容量<FONT face="Times New Roman">13ml</FONT>，左室收缩末期容量<FONT face="Times New Roman">3.9ml</FONT>，　每博量<FONT face="Times New Roman">9.4ml</FONT>；<p></p></P>
<P >左室短轴缩短率<FONT face="Times New Roman">38%</FONT>，左室射血分数<FONT face="Times New Roman">71%, </FONT>心输出量<FONT face="Times New Roman">1.1L/</FONT>分<FONT face="Times New Roman">;<p></p></FONT></P>
8 l& g" `6 o+ M* r/ C4 B0 _<P >二尖瓣<FONT face="Times New Roman">E</FONT>峰<FONT face="Times New Roman">0.95,</FONT>　<FONT face="Times New Roman"> </FONT>二尖瓣<FONT face="Times New Roman">A</FONT>峰<FONT face="Times New Roman">0.56, </FONT>三尖瓣<FONT face="Times New Roman">E</FONT>峰<FONT face="Times New Roman">0.95</FONT>；<p></p></P>
<P >三尖瓣<FONT face="Times New Roman">A</FONT>峰<FONT face="Times New Roman">0.6, </FONT>主动脉流速<FONT face="Times New Roman">0.96, </FONT>肺动脉流速<FONT face="Times New Roman">0.8</FONT>；<p></p></P>
$ F" \% J! m7 E' y<P >描述<FONT face="Times New Roman">:1</FONT>、心脏位置及大血管连接关系正常。左位主动脉弓。　<p></p></P>
<P ><FONT face="Times New Roman">2</FONT>、各房室内径尚属正常范围。<p></p></P>
<P ><FONT face="Times New Roman">3</FONT>、室间隔于膜部流入道回声失落伴膜部瘤初步形成，其基底部回声失落<FONT face="Times New Roman">4mm</FONT>，<p></p></P>
" ?+ @9 P: C0 k3 q<P >　　顶端开口<FONT face="Times New Roman">2mm</FONT>，<FONT face="Times New Roman">CFM</FONT>探及收缩期左向右分流讯号。<p></p></P>
  e4 g+ H1 Q7 l<P ><FONT face="Times New Roman">4</FONT>、房间隔无明显回声失落，<FONT face="Times New Roman">CFM</FONT>未探及心房水来分流讯号。<p></p></P>
<P ><FONT face="Times New Roman">5</FONT>、肺动脉内径可，肺动脉瓣形态活动无特殊，<FONT face="Times New Roman">PDE</FONT>测肺动脉口流速<FONT face="Times New Roman">0.8m/s</FONT>层流频谱。<p></p></P>
% ]" O; _8 t% x1 Y& r; v<P ><FONT face="Times New Roman">6</FONT>、二、三尖瓣形态活动可，多普勒在三尖瓣上游探及轻度反流。<p></p></P>
<P >结论：室间隔缺损（膜部流入道）<p></p></P>
" g5 ~* K6 f# H<P ><FONT face="Times New Roman"> <p></p></FONT></P>
6 O* ~1 V2 z$ X& X<P >请问医生<FONT face="Times New Roman">:<p></p></FONT></P>
7 P6 c2 B+ u: ^: u% G<P ><FONT face="Times New Roman">1、  </FONT>我宝宝现在<FONT face="Times New Roman">4</FONT>个月<FONT face="Times New Roman">,</FONT>室间隔缺损自已长好的机会有多大？一般需要多少时间能长好<FONT face="Times New Roman">?</FONT>如果长不好<FONT face="Times New Roman">,</FONT>必须要做动术吗<FONT face="Times New Roman">?</FONT>这种心脏病严重吗？<p></p></P>
<P ><FONT face="Times New Roman">2、  </FONT>是否可以打预防针，如：乙肝疫苗，白百破，乙脑疫苗，<FONT face="Times New Roman">A</FONT>群流脑疫苗<FONT face="Times New Roman">.</FONT>因为我们就诊时专家说打预防针容易发烧<FONT face="Times New Roman">,</FONT>所以让我们停止打预防针<FONT face="Times New Roman">,</FONT>但是这样一停会漏很多针的<FONT face="Times New Roman">,</FONT>所以我现在不知道到底要打还是不打<FONT face="Times New Roman">?<p></p></FONT></P>
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
, j! z# h3 _3 @<P >急切盼望你们的回信，谢谢。<p></p></P>

陆医生

您好：<BR>    可定期复查到2岁左右，可以正常预防接种。