心急如焚的父亲

lauliu · 发表于 2006-12-9 23:44:10

尊敬的专家教授：我儿<chsdate wst="on" isrocdate="False" islunardate="False" day="18" month="11" year="2006">零六年十一月十八日晚九点</chsdate>顺产<chsdate wst="on" isrocdate="False" islunardate="False" day="19" month="11" year="2006">零六年十一月十九日</chsdate>查房医生见婴儿哭泣时脸色变化较大并随唇鼻周围有偏紫色，听心音有杂音。<chsdate wst="on" isrocdate="False" islunardate="False" day="19" month="11" year="2006">十一月十九日上午</chsdate>B超检查结果附后。转至儿科监护室当晚九点服消炎痛次日九点服消炎痛次日二十一点服消炎痛 至二十二日上午B超检查结果见后；下午转至母婴房次日因黄疸偏高（17.2）再次转入儿科监护室至二十七日出院，黄疸正常（4.7） 日前可见：嘴唇稍干，脚心有蓝紫色，哭泣可见脸色变化较大但未见发紫。呼吸正常恳请专家教授回复：我儿可否自愈？如需治疗，何时较好？附：检查日期：19nov2006设    备：sono4500  超声所见：B:A0 <chmetcnv wst="on" unitname="cm" sourcevalue=".9" hasspace="False" negative="False" numbertype="1" tcsc="0">0.9cm</chmetcnv>  LA <chmetcnv wst="on" unitname="cm" sourcevalue=".9" hasspace="False" negative="False" numbertype="1" tcsc="0">0.9cm</chmetcnv>  <place wst="on"><city wst="on">LV</city></place>
<chmetcnv wst="on" unitname="cm" sourcevalue="1.6" hasspace="False" negative="False" numbertype="1" tcsc="0">1.6cm</chmetcnv>  IVS <chmetcnv wst="on" unitname="cm" sourcevalue=".4" hasspace="False" negative="False" numbertype="1" tcsc="0">0.4cm</chmetcnv>  LVPW <chmetcnv wst="on" unitname="cm" sourcevalue=".3" hasspace="False" negative="False" numbertype="1" tcsc="0">0.3cm</chmetcnv>  PA <chmetcnv wst="on" unitname="cm" sourcevalue=".8" hasspace="False" negative="False" numbertype="1" tcsc="0">0.8cm</chmetcnv>  RA <chmetcnv wst="on" unitname="cm" sourcevalue="1.1" hasspace="False" negative="False" numbertype="1" tcsc="0">1.1cm</chmetcnv>  RV <chmetcnv wst="on" unitname="cm" sourcevalue="1.4" hasspace="False" negative="False" numbertype="1" tcsc="0">1.4cm</chmetcnv>  各房室腔不大，各瓣膜纤细，启闭自如，室间隔连续，主、肺动脉不宽；  室壁不厚，活动协调，心包及心包腔未见明显异常。M:主动脉主波幅度正常，重博波可见。CDFI：房间隔中后段见<chmetcnv wst="on" unitname="cm" sourcevalue=".2" hasspace="False" negative="False" numbertype="1" tcsc="0">0.2cm</chmetcnv>宽的红色为主的彩色血流穿隔，LA->RA,      心底短轴切面见<chmetcnv wst="on" unitname="cm" sourcevalue=".37" hasspace="False" negative="False" numbertype="1" tcsc="0">0.37cm</chmetcnv>宽的红色为主的彩流束射入主肺动脉内，沿外侧壁行走，探及双期血流频谱，Vmax<chmetcnv wst="on" unitname="m" sourcevalue="2" hasspace="False" negative="False" numbertype="1" tcsc="0">2.0m</chmetcnv>/s,Vmin<chmetcnv wst="on" unitname="m" sourcevalue="1" hasspace="False" negative="False" numbertype="1" tcsc="0">1.0m</chmetcnv>/s。主、肺动脉舒张期间红色为主的彩流束进入左右室流出道，Vmax<chmetcnv wst="on" unitname="m" sourcevalue="1" hasspace="False" negative="False" numbertype="1" tcsc="0">1.0m</chmetcnv>/s Vmax<chmetcnv wst="on" unitname="m" sourcevalue=".7" hasspace="False" negative="False" numbertype="1" tcsc="0">0.7m</chmetcnv>/s.二三尖瓣收缩期见蓝色为主的彩色血流束进入左右心房，Vmax<chmetcnv wst="on" unitname="m" sourcevalue="1.6" hasspace="False" negative="False" numbertype="1" tcsc="0">1.6m</chmetcnv>/s Vmax<chmetcnv wst="on" unitname="m" sourcevalue="2" hasspace="False" negative="False" numbertype="1" tcsc="0">2.0m</chmetcnv>/s。余各瓣口血流速度、方向、时向正常。主、肺动脉收缩期血流呈蓝色，主动脉瓣口Vmax<chmetcnv wst="on" unitname="m" sourcevalue=".9" hasspace="False" negative="False" numbertype="1" tcsc="0">0.9m</chmetcnv>/s，肺动脉瓣口Vmax<chmetcnv wst="on" unitname="m" sourcevalue=".6" hasspace="False" negative="False" numbertype="1" tcsc="0">0.6m</chmetcnv>/sTDI：心壁运动正常。心功能：EF80%，FS40%，E>A 超声提示：动脉导管未闭          房间隔声像改变：卵圆孔闭锁不全          二、三尖瓣返流         心功能正常。检查日期：22nov2006设    备：sono4500  超声所见：B:A0 <chmetcnv wst="on" unitname="cm" sourcevalue=".8" hasspace="False" negative="False" numbertype="1" tcsc="0">0.8cm</chmetcnv>  LA <chmetcnv wst="on" unitname="cm" sourcevalue=".9" hasspace="False" negative="False" numbertype="1" tcsc="0">0.9cm</chmetcnv>  <place wst="on"><city wst="on">LV</city></place>
<chmetcnv wst="on" unitname="cm" sourcevalue="1.3" hasspace="False" negative="False" numbertype="1" tcsc="0">1.3cm</chmetcnv>  IVS <chmetcnv wst="on" unitname="cm" sourcevalue=".4" hasspace="False" negative="False" numbertype="1" tcsc="0">0.4cm</chmetcnv>  LVPW <chmetcnv wst="on" unitname="cm" sourcevalue=".3" hasspace="False" negative="False" numbertype="1" tcsc="0">0.3cm</chmetcnv>  PA <chmetcnv wst="on" unitname="cm" sourcevalue=".9" hasspace="False" negative="False" numbertype="1" tcsc="0">0.9cm</chmetcnv>  RA <chmetcnv wst="on" unitname="cm" sourcevalue="1.3" hasspace="False" negative="False" numbertype="1" tcsc="0">1.3cm</chmetcnv>  RV <chmetcnv wst="on" unitname="cm" sourcevalue="1.5" hasspace="False" negative="False" numbertype="1" tcsc="0">1.5cm</chmetcnv>  右房右室稍大，左房室腔不大，三尖瓣回声稍强，开放可，关闭有错位，余瓣膜纤细，启闭自如，室间隔连续，主、肺动脉不宽，无交通；室壁不厚，活动协调，心包及心包腔未见明显异常。M:主动脉主波幅度正常。CDFI：房间隔中部处见<chmetcnv wst="on" unitname="cm" sourcevalue=".3" hasspace="False" negative="False" numbertype="1" tcsc="0">0.3cm</chmetcnv>宽的红色为主的彩色血流穿隔，LA->RA,      二尖瓣收缩期见蓝色为主的彩色血流束进入左心房，Vmax<chmetcnv wst="on" unitname="m" sourcevalue="2" hasspace="False" negative="False" numbertype="1" tcsc="0">2.0m</chmetcnv>/s      三尖瓣收缩期见蓝色为主的彩色血流进入右心房达心底部，Vmax<chmetcnv wst="on" unitname="m" sourcevalue="3.1" hasspace="False" negative="False" numbertype="1" tcsc="0">3.1m</chmetcnv>/s余各瓣口血流速度、方向、时向正常。主、肺动脉收缩期血流呈蓝色，主动脉Vmax<chmetcnv wst="on" unitname="m" sourcevalue="1.1" hasspace="False" negative="False" numbertype="1" tcsc="0">1.1m</chmetcnv>/s，肺动脉Vmax<chmetcnv wst="on" unitname="m" sourcevalue=".8" hasspace="False" negative="False" numbertype="1" tcsc="0">0.8m</chmetcnv>/sTDI：心壁运动正常。心功能：EF80%，FS48%，E>A 超声提示：房间隔声像改变：卵圆孔闭锁不全          三尖瓣声像改变并重度返流          二尖瓣返流

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