求助!

7316326

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">我的孩子现在</span><span lang="EN-US"><font face="Times New Roman">5</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个半月了</span><span lang="EN-US"><font face="Times New Roman">,男孩,体重7.5公斤,因一次发烧后,就医,医生说,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心脏有杂音</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">所以今天就去当地医院做了一次检查</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声波结果是</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔缺损</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">肺动脉瓣返流</span><span lang="EN-US"><font face="Times New Roman">.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右心室舒张末前后径</span><span lang="EN-US"><font face="Times New Roman">15mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉窦部前后径</span><span lang="EN-US"><font face="Times New Roman">15mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔厚</span><span lang="EN-US"><font face="Times New Roman">4mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左室后壁厚</span><span lang="EN-US"><font face="Times New Roman">3mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右心房上下径</span><span lang="EN-US"><font face="Times New Roman">23mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左室流出道</span><span lang="EN-US"><font face="Times New Roman">19mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二尖瓣</span><span lang="EN-US"><font face="Times New Roman">EF</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">斜率</span><span lang="EN-US"><font face="Times New Roman">55mm/s,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉内径</span><span lang="EN-US"><font face="Times New Roman">13mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左心室舒张末前后径</span><span lang="EN-US"><font face="Times New Roman">32mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉瓣口开放幅度</span><span lang="EN-US"><font face="Times New Roman">10mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔运动幅度</span><span lang="EN-US"><font face="Times New Roman">6mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左室后壁运动幅度</span><span lang="EN-US"><font face="Times New Roman">7mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右心房左右径</span><span lang="EN-US"><font face="Times New Roman">19mm.EPSS 5mm, </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左心房前后径</span><span lang="EN-US"><font face="Times New Roman">21mm</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二尖瓣</span><span lang="EN-US"><font face="Times New Roman">E</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">峰</span><span lang="EN-US"><font face="Times New Roman">97cm/s,A</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">峰</span><span lang="EN-US"><font face="Times New Roman">75cm/s.E/A=1;33 </font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">三尖瓣</span><span lang="EN-US"><font face="Times New Roman">79cm/s<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主动脉</span><span lang="EN-US"><font face="Times New Roman">96cm/s<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">肺动脉</span><span lang="EN-US"><font face="Times New Roman">127cm/s</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">描述</span><span lang="EN-US"><font face="Times New Roman">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">各心腔大小无异常</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">各瓣膜结构及活动状态未见异常</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">房间隔未见回声中断</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔没</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">膜周部可见回声中断区</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室壁运动协调</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">运动幅度未见异常</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心率</span><span lang="EN-US"><font face="Times New Roman">127</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">次每分</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">律齐</span><span lang="EN-US"><font face="Times New Roman">.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔右室侧可检出正向实填的收缩期湍流频谱</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">峰速</span><span lang="EN-US"><font face="Times New Roman">204cm/s.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">时间</span><span lang="EN-US"><font face="Times New Roman">259ms.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右室流出道可检出舒张期返流频谱</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">峰速</span><span lang="EN-US"><font face="Times New Roman">230cm/s.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">时间</span><span lang="EN-US"><font face="Times New Roman">132ms.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">请问这种先天性的心脏病有自愈的可能吗?现在严重吗?如果手术何时手术好呢</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">危险性大吗</span><span lang="EN-US"><font face="Times New Roman">?还有可以做介入吗?如果在咱医院做手术费用多少?</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">急待您的回复</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">谢谢</span></p><p></p>
& N5 l' `* j. I- i) c7 y" C

陆医生

这是在哪里做的超声，看了半天我也没有看出缺损的大小。

7316326

<p>彩超是从秦皇岛市第二人民医院做的.我也看不明白,我看别的病例都很详细,我这个就有一结果.我很着急,所以我想问问专家您们啊!谢谢!专家帮我看看宝宝的病情啊!</p>

陆医生

缺损没有大小，如何判断？

7316326

<p>我刚才又问了一下,丢了两句话</p><p>彩色多普勒血流显像：室间隔膜周部可见五色镶嵌的跨隔血流束，宽度约９mm,肺动脉瓣口可见返流信号．</p>

全康复

如果这样，现在可以手术。

7316326

<p>谢谢您的回复！自愈的可能还有吗？手术的成功率是多少呢？可以介入治疗吗？用最好的治疗方法我们要准备多少钱？</p>

陆医生

这么大的缺损，建议还是及早手术吧，费用3万元左右。

7316326

<p>好的,我知道了,谢谢您,</p><p>3万多只是手术费还是全包括呀?孩子这么小,手术危险性大吗?贵院住院可以家长赔住吗?</p>

陆医生

3万元包括全部治疗费用，其他问题仔细阅读论坛相关帖子。