[求助]二叶式肺动脉瓣

chenxuhong

<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;;">尊敬的专家，</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;;">您好！</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;;">我儿现</span><span lang="EN-US"><font face="Times New Roman">3</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;;">个月大，实时三维超声心电图检查：</span><span lang="EN-US"><font face="Times New Roman">LVEDV 909 ml,EF 66%,SV 6.5ml,CO 0.34L/min</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;;">心房正位，心室右伴。心脏各房室内径正常大小，房室间隔回声延续正常。肺动脉瓣呈二叶式，瓣尖稍增厚，余瓣膜结构及起闭未显示明星异常。主，肺动脉位置关系正常，主肺动脉稍增宽，主肺动脉及左右动脉内径分别位</span><span lang="EN-US"><font face="Times New Roman">13mm,6mm,7mm,</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;;">主动脉弓降部未显示异常。冠状动脉开口位置及内径未显示异常。心包未显示积液回声。</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;;">实时三维超声显示肺动脉瓣两叶，开放未显示明显受限。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">CDFI:</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;;">右房内显示源自左房过隔分流信号，分流速</span><span lang="EN-US"><font face="Times New Roman">2mm.</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;;">肺动脉瓣口血流速度稍增快，舒张期显示少量反流信号。</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;;">超声诊断：</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;;">先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">肺动脉瓣畸形</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">二叶式肺动脉瓣</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">房水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心脏整体功能指标正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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;;">请问专家：</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;;">我儿会自愈吗？需要手术吗？急盼您的回复，谢谢！！</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 估计问题不大，不需要治疗，但是保险起见，建议在合适的时机到我中心明确一下诊断。

chenxuhong

<p>尊敬的admin,</p><p>非常感谢您在百忙中给我回复。</p><p>再次请问您：</p><p>1.我儿 “<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">肺动脉瓣畸形”，</span>“<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">二叶式肺动脉瓣</span>”的情况也能自愈吗？因我从一些资料上了解到一般应是“三叶式<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">肺动脉瓣</span>”。</p><p>2.要等孩子多大时到您中心再作明确诊断？因我们远在深圳。</p><p>一位焦急的妈妈殷切期盼您的回复！！</p><p></p>

陆医生

<p>您好：<br/>&nbsp;&nbsp;&nbsp; 肺动脉瓣正常情况下应该为三叶瓣，但是如果小孩为二叶瓣，且没有严重返流的话，应该对他的心功能影响不大；<br/>&nbsp;&nbsp;&nbsp; 我说的合适的时机是指你们能安排出时间的时候。</p>