术后用药咨询！

辰辰妈妈

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;">诊断<span lang="EN-US">:</span></span><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"> DORV<span style="mso-spacerun: yes;">&nbsp; </span>VSD<span style="mso-spacerun: yes;">&nbsp; </span>PH<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;">入院时主要症状及体征<span lang="EN-US">:<p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">1、</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">体检</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">:</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">神清，精神佳，口唇无紫绀，双肺清，对称，心律齐，心率</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">125</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">次</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">/</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">分，</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">L3-4 4/&nbsp;viSM</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">，肝肋下</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">0cm</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">，四肢暖。</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">、诊断：</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">DORV(SDD)<span style="mso-spacerun: yes;">&nbsp; </span>VSD<span style="mso-spacerun: yes;">&nbsp; </span>PH<span style="mso-spacerun: yes;">&nbsp; </span>3</font></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">、诊断依据：本院</span><font face="Times New Roman"><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt;">2DE </span><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;">特殊检查及重要会诊<span lang="EN-US">:<p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">(1)心脏超声（日期2005.9.6）：DORV<span style="mso-spacerun: yes;">&nbsp; </span>VSD（多发）PH (2)MRI（日期2005.9.28）：DORV (SDD)<span style="mso-spacerun: yes;">&nbsp; </span>VSD<span style="mso-spacerun: yes;">&nbsp; </span>&nbsp;肺动脉扩张<span style="mso-spacerun: yes;">&nbsp; </span>(3)胸片（2005.9.6）心影大肺血多(4)20060419：食道超声检查术：DORV修补+肌部VSD填塞术后，残余分流，右室面3.3mm左室面3.0mm，左向右分流3.12m/s<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">(5).20060420：二维脉冲彩色多普勒：肌部封堵装置上缘残余左向右分流0.26cm，流速3.6M/S<span style="mso-spacerun: yes;">&nbsp; </span>(6)20060425：胸部正位：先心术后，左下肺局限性不张伴局部代偿性肺气肿<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;">病程与治疗结果<span lang="EN-US">:<p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">&nbsp;06 年4月19日，气静麻醉下，胸正中切口，中低温改良超滤，体外循环，术中见DORV为DORV/VSD Type(Eisenmenger type)ADD;VSD Subaortic.20*20cm,2肌部室缺近心尖：&nbsp;reair(IVR)/Amplatze&nbsp;封堵器封堵肌部室缺，置纵隔/右胸引流管/肺动测压管。TEE：肌部室缺残留3mm<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>术后强心利尿治疗，抗生素抗感染，肺部护理，呼吸道物理治疗。<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;">出院时情况<span lang="EN-US">:</span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">神清，精神可，双肺清，对称，心律齐，杂音不显，四肢暖，无青紫<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 17pt; mso-line-height-rule: exactly;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 黑体; mso-hansi-font-family: 宋体; mso-bidi-font-size: 12.0pt;">出院后用药及建议<span lang="EN-US">:<p></p></span></span></p><p><span style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">地高辛<span lang="EN-US">&nbsp;0.03mg q12h<span style="mso-spacerun: yes;">&nbsp; </span>po，速尿&nbsp;10&nbsp;mg<span style="mso-spacerun: yes;">&nbsp; </span>poTID<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>Capton1/4片 q12h<span style="mso-spacerun: yes;">&nbsp; </span>po<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>10%KC1<span style="mso-spacerun: yes;">&nbsp; </span>2ml<span style="mso-spacerun: yes;">&nbsp; </span>tid<span style="mso-spacerun: yes;">&nbsp; </span>po<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>氨苯喋啶1/2片&nbsp;&nbsp;bid<span style="mso-spacerun: yes;">&nbsp; </span>po<span style="mso-spacerun: yes;">&nbsp; </span>希克劳干粉1包tid<span style="mso-spacerun: yes;">&nbsp; </span>po<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>沐舒坦糖浆2.5ml tid po </span></span></p><span style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span lang="EN-US"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman">当时出院时开的呋塞米每天3次每次半片一个月的药、氨苯喋啶片每天2次每次半片是一个月的药量，开博通是每天2次吃1/4片一个半月的量，氯化钾是每天三次每次2毫升一个月用量，巴米尔每天中午吃一次一次半片三个月的药，地高辛每天两次每次2毫升一个月用量，现在我女儿药除了巴米尔外都已经吃完，在我们当地购买的药在继续吃，我女儿现在醒时心跳在120左右，睡着100左右，在做完手术的第一个月内情况很好，从第二个月开始嘴唇周围开始有青紫现象，不知道正常不，&nbsp;我该怎么办？药还需不需要继续吃？我们当地购买的药和贵院开的药不太一样，我们能不能从贵院邮寄过来？恳请您的答复！谢谢！</font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman"><p></p></font></font></span>&nbsp;</p><div>&nbsp;</div></span></span><p><span style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span lang="EN-US"></span></span></p><p><span style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span lang="EN-US"></span></span></p>

辰辰妈妈

<p>我女儿现在是1岁9个月，嘴开始有青紫现象是不是不正常？当时药用完时停用了呋塞米、氨苯喋啶、氯化钾，但是到了第二天就有点浮肿，前两天停了一天还是出现浮肿，不知道能不能停？谢谢您！</p>

辰辰妈妈

怎么没有人给我复呢？本人实在是很焦急，请版主给我回复一下可不可以！！！！！！！！

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 建议以上药物还是不要停用，至于邮寄药物的问题，抱歉，我们没有这项业务