室间隔缺损、动脉导管未闭、卵圆孔未闭

陆医生

0.3到0.5mg/Kg，你们的小孩应该每次服用1/6粒。

童童妈妈

<p><strong><font color="#000000">我的</font><font face="Verdana" color="#61b713">童童<font color="#000000">快6个月了，净重15斤多一点，其他表现很好，很乖，5个月初就开始认生了，就是吃了辅食以后，牛奶反而不好好吃了，真是又喜又忧。我们马上又要去做检查了，希望能和上次一样又有好消息啊!</font></font></strong></p><p><strong><font face="Verdana">再次祝愿天下的先心宝宝都能得到上天保佑，赶快好起来，我们做父母的真是什么事都愿意做啊！</font></strong></p><p><strong><font face="Verdana">大家有什么好消息，多一起聊聊啊！！！！！！！</font></strong></p><p><strong><font face="Verdana">预祝元宵节快乐！！！！！！！</font></strong></p>

童童妈妈

<strong><font face="Verdana" color="#61b713">童童<font color="#000000">已经睡了，但爸爸报着病体还在加班写材料，为了什么？还不是为了你，可怜天下父母心啊！3月1日1时，爸爸在这里为你和天下的先心宝宝祈祷和祝福！！！！！！也希望你们病好了，都做好孩子，长大以后对父母和长辈们多一份孝心，也为社会多做一份贡献！</font></font></strong>

童童妈妈

<strong><font face="Verdana" color="#61b713">童童<font color="#000000">今天称了体重15.6斤，如果明天确认成功，我们14日检查，有一起的朋友吗?希望都会有好消息！</font></font></strong>

童童妈妈

<p><span><strong>Admin，我们于3月14日去贵院做了复查,孩子6个半月,体重15.5斤,女孩,奶量150--180ML,是陈树宝教授的特需,他亲自做的彩超.3个月前</strong></span>室隔缺损（膜周流入道<span lang="EN-US"><font face="Times New Roman">+</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">小梁）</span><span lang="EN-US"><font face="Times New Roman">0.66cm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">，部分三尖瓣组织附着，分流口</span><span lang="EN-US"><font face="Times New Roman">0.38cm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">，由于没拿到正式的报告,<font color="#ff0000">我简单的说这次检查结果:室间隔缺损（膜周流入道<span lang="EN-US"><font face="Times New Roman">+</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">小梁）</span><span lang="EN-US"><font face="Times New Roman">0.5cm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">，部分三尖瓣组织附着，分流口</span><span lang="EN-US"><font face="Times New Roman">0.274cm。<font color="#000000">这分流口好象变小了，但进展速度是否太慢了呢？有自愈的希望吗？</font></font></span></font></span></p><p><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';"><font color="#ff0000"><span lang="EN-US">还有，我家宝宝最近好象老是会缩脖子，然后涨着脸，这与先心有关吗？还是其他什么原因？比如小儿痉挛症？我们也不太懂这些。</span></font></span></p>

陆医生

看起来有自愈倾向，建议继续定期复查吧；<br/>缩脖子的问题建议看儿童保健门诊。

童童妈妈

<p>在论坛里浏览的很久,还是忍不住上来说几句</p><p>每个先心父母的辛苦只有自己知道,我们只有一个信念:希望宝宝早点好起来,能象正常孩子一样蹦啊跳啊快乐啊,用那颗求知的心去探索外面的世界。</p><p>但是，还是有孩子离开我们，去天堂做了天使</p><p>[em19][em19][em19]</p><p></p>但我一直相信，只有坚持我们的信念，阳光总在风后，乌云上有晴空，拨开云雾后，我们将看见更灿烂的彩虹！！！！说了题外话，斑竹见谅

陆医生

有感而发，可以理解。

童童妈妈

<p><span><strong>Admin,我们3.14的正式报告收到了,女孩,6月半,检查结果如下:</strong></span></p><span><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span lang="EN-US"><font face="Times New Roman">M</font></span></b><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">型超声心动图（厘米）</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVDd</font><font face="宋体">&nbsp;&nbsp;</font></span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;</span>2.98<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RVDd<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>IVSd<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPWd<span style="mso-spacerun: yes;">&nbsp; </span>0.36<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Ao<span style="mso-spacerun: yes;">&nbsp; </span>1.01</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"></span><span lang="EN-US"><font face="Times New Roman">LDVs&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1.63</font></span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RVDs<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>IVSs<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPWs<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>0.94<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LA<span style="mso-spacerun: yes;">&nbsp; </span>1.29</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心功能&nbsp; </span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVEF<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>%<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>LVFS<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">二维超声（平方厘米）</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font face="Times New Roman"><personname wst="on" productid="LA         LV        RA"><span lang="EN-US">LA<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><city wst="on"><place wst="on">LV</place></city><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>RA</span></personname><span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>RV<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MRA<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TRA</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">频普多普勒超声（米</span><span lang="EN-US"><font face="Times New Roman">/</font></span></b><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">秒）</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AAo<span style="mso-spacerun: yes;">&nbsp; </span>1.6<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DAo<span style="mso-spacerun: yes;">&nbsp; </span>1.8<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVOT<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>RVOT<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MPA<span style="mso-spacerun: yes;">&nbsp; </span>1.6</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">MV<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>1.0<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TV<span style="mso-spacerun: yes;">&nbsp; </span>0.8<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">跨瓣压差</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>mmHg</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">彩色多普勒超声</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">MR&nbsp;阴性</font></span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>AI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">阴性&nbsp;&nbsp; </span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>TR</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">轻微</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>PI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">轻微</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心房水平无分流</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心室水平左向右分流</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; 5.86</span><chmetcnv wst="on" unitname="m" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0">m</chmetcnv>/s<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">大动脉水平无分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声所见</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心脏位置及连接正常，左房左室腔稍增大，左心收缩活动可。主动脉无增宽，肺动脉稍增宽，总干1.35CM,瓣膜开放活动正常。房室瓣开放活动正常。房隔完整，室隔缺损（膜周流入道</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）</span><chmetcnv wst="on" unitname="cm" sourcevalue=".66" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.5cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，部分三尖瓣组织附着<font color="#ff0000">正缘(此2字为手写,认不清楚)</font>，分流口</span><chmetcnv wst="on" unitname="cm" sourcevalue=".38" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.3cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，左向右分流5.86</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">m</span></chmetcnv><span lang="EN-US">/s</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">。左位主动脉弓。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#ff0000">请问:</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#ff0000">1、我家的情况与3个月时是否进展不大？</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#ff0000">2、这次心功能怎么没测试？</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#ff0000">3、总干1.35CM是什么意思？这次PI好象有轻度返流，问题大吗？</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#ff0000">4、我家这种情况能做介入吗？</font></span></p></span>

童童妈妈

顶起来,<span><strong>Admin请帮忙回答39楼的问题呀!!!</strong></span>

陆医生

继续定期复查，看起来有自愈的希望，肺动脉问题不大。

童童妈妈

<p><strong><font color="#ff0000">admin,问一个可能比较弱智的问题:</font></strong></p><p><strong><font color="#ff0000">如果室间隔的分流口小于0.2CM,可以不用手术吗?还是只要有分流就必须手术?</font></strong></p>

陆医生

<p>呵呵，没有什么弱智不弱智的问题，隔行如隔山嘛；</p><p>小于2mm的室缺，个人认为确实没必要去处理。</p>

童童妈妈

我们家室缺0.5CM,分流口0.3CM,如果分流口小于0.2CM就不用手术???你说的是室缺本身小于0.2CM不需要手术吗?如果不处理,对心脏将承受的压力大吗?我们家长都不希望孩子带了一辈子的负担啊!!!

陆医生

具体情况具体分析，没有一概而论得事情。