小孩5个月大做的检查,需要专家和好心人给予指点和建议!

hongshui

<p>如下是5个月大的男小孩做的检查:</p><p><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">检查所见</span></b></p><p><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"></span></b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">测量信息：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman"></font></span></p><span lang="EN-US"><font face="Times New Roman">1.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心脏位置正常，心房与心室连接一致，心室与大血管连接一致，左心系统内经增大，右室内经增大，右室壁增厚为</span><chmetcnv wst="on" unitname="cm" sourcevalue=".9" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.9cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，余各房室腔内经测值正常，心脏多切面观：室间隔回声中断，测缺口大小</span><chmetcnv wst="on" unitname="cm" sourcevalue=".43" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.43cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，左向右分流流速为</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue=".96" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.96m</span></chmetcnv><span lang="EN-US">/s</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，右向左分流为</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue=".78" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.78m</span></chmetcnv><span lang="EN-US">/s</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，降主动脉与左肺动脉之间可见异常通道，肺动脉端宽</span><chmetcnv wst="on" unitname="cm" sourcevalue=".25" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.25cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">降主动脉宽</span><chmetcnv wst="on" unitname="cm" sourcevalue=".28" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.28cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，导管长</span><chmetcnv wst="on" unitname="cm" sourcevalue=".54" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.54cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，全期流速为</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue="1.4" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">1.4m</span></chmetcnv><span lang="EN-US">/s</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，压差</span><span lang="EN-US"><font face="Times New Roman">7.8mmHG</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，胸骨上窝扫查：主动脉峡部内经为</span><chmetcnv wst="on" unitname="cm" sourcevalue=".57" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.57cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，峡部至降主动脉可见长度为</span><chmetcnv wst="on" unitname="cm" sourcevalue="1.4" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">1.4cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">的狭窄段，内经显示欠清晰，</span><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">观察：其内可见在血流信号近似离断，流速为</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">4m</span></chmetcnv><span lang="EN-US">/s</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，降主动脉内经增宽为</span><chmetcnv wst="on" unitname="cm" sourcevalue="1.1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">1.1cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，锁骨下动脉显示欠清晰，颈总动脉内经为</span><chmetcnv wst="on" unitname="cm" sourcevalue=".46" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.46cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span><span lang="EN-US"><font face="Times New Roman">2.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔与左室后壁厚度、幅度正常。</span><span lang="EN-US"><font face="Times New Roman">3.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">各瓣膜弹性、厚度、活动度正常。</span><span lang="EN-US"><font face="Times New Roman">4.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">彩色血流观察：室水平双向分流，左向右略大右向左，大血管水平左向右分流，二、三尖口可见偏心型返流信号，脉冲多普勒于二尖瓣口录得单峰，三尖瓣口录得单峰。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">检查结论</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-char-indent-count: -2.0;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>1.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">先天性心脏病：</span><span lang="EN-US"><font face="Times New Roman">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">）主动脉缩窄（范围</span><span lang="EN-US"><font face="Times New Roman">1.4/<chmetcnv wst="on" unitname="cm" sourcevalue=".6" hasspace="False" negative="False" numbertype="1" tcsc="0">0.6cm</chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">）——近似离断</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>2</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——膜周流入到型（</span><chmetcnv wst="on" unitname="cm" sourcevalue=".43" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US"><font face="Times New Roman">0.43cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">）</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>3)</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">动脉导管未闭（管型）</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span lang="EN-US"><font face="Times New Roman">2.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左室收缩及舒张功能正常</span><span lang="EN-US"><font face="Times New Roman">3.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">彩色血流：室水平双向分流（左向右略大右向左），大血管水平左向右分流，二、三尖瓣返流（中度）</span><font face="Times New Roman">&nbsp;</font><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;</span>4. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">肺动脉收缩压增高（</span><span lang="EN-US"><font face="Times New Roman">84.3 mmHG</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">）</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span></p><p></p>

emily

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陆医生

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