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室间隔膜周部缺损 卵圆孔未闭 如何治疗?

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发表于 2006-11-14 21:19:25 | 显示全部楼层 |阅读模式
<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';">我侄儿出生30天,作彩色超声诊断如下:</span><span lang="EN-US"><font face="Times New Roman">&nbsp;<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">&nbsp;<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">心脏测值(</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">mm</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">)</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Doppler</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">检查</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">(cm/s)<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;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">心功能检查(</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">SV.EF.FS.CO.CI</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">)</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">A0 11mm(21-35)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RV mm(&lt;23)<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;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Co<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>L/min</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">(</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">3-6</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt;">)</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span><p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">PA 12mm(15-25)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>IVC 6mm(15-22)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TV<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>cm/s()30-70<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>Ci<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>L/min/m</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">&#710;</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">2(2-3)<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">LA 13mm(25-35)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>IVS<span style="mso-spacerun: yes;">&nbsp; </span>6mm(8-11)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>PPG<span style="mso-spacerun: yes;">&nbsp; </span>(&lt;4mmHg)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E/A<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(1.7-2.5) <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">LVS mm(23-36)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPW 5mm(8-11)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>SV<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ml(35-90)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EPSS<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>mm(2-7)<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">LVD 25mm(37-55)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVOT cm/s(70-110)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>EF<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>%(45-75)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MVEF<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>mm/s(80-135)<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">RA mm(31-45)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>PAV cm/s(60-90)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FS<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>%(&gt;25)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVMW/BSA<span style="mso-spacerun: yes;">&nbsp; </span>g/ m</font></span><span style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">&#710;</span><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">2(115-20)<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">&nbsp;<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; mso-bidi-font-size: 12.0pt;"><font face="Times New Roman">&nbsp;<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 52.5pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -5.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声描述:心脏:主动脉不宽,主波搏幅尚好,重搏波可见,肺动脉增宽,搏动增强。左右心室未见明显扩大。各心瓣膜尚纤细,二尖瓣活动幅度增大,肺动脉瓣活动曲线</span><span lang="EN-US"><font face="Times New Roman">a</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;;">波消失,收缩期呈</span><span lang="EN-US"><font face="Times New Roman">W </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;;">型,运动增强室间隔膜周期回声失落,在右室流出道长轴切面,肺动脉瓣环下方,主动脉右冠瓣与左冠瓣交界处可见连续中断缺损,舒张末期缺口长径</span><span lang="EN-US"><font face="Times New Roman">6mm</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;;">,彩色多普勒显示:可见异常的穿隔血流,收缩期从左室经室间隔缺损口进入右室,血流束以红色为主,多彩镶嵌。卵圆孔宽</span><span lang="EN-US"><font face="Times New Roman">3mm</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;;">。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 52.5pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -5.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声提示:先天性心脏病:室间隔膜周部缺损。卵圆孔未闭。诊断书见附件。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 52.5pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -5.0; mso-char-indent-size: 10.5pt;"><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 52.5pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -5.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">请问医生查出患有先心病(房间隔缺损)请问需要怎样治疗?需要手术吗?如果需要什么时候做手术最佳?手术费用大约多少?谢谢!<br/></span></p>
     
发表于 2006-11-16 02:07:03 | 显示全部楼层
您好:<br/>&nbsp;&nbsp;&nbsp; 建议半岁左右手术治疗,此类室间隔缺损不易自愈。
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