[求助][求助]求助室间隔缺损（膜周型）

玲珑郎

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 12.0pt;"><span style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">尊敬的专家：<span lang="EN-US">
                                <p></p></span></span></p><p></p><p></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体">您好。<span style="COLOR: black;">我女儿０５年<span lang="EN-US">4月29日出生，七个多月在县人民医院治疗,儿科医师会诊时听到心脏有杂音，心脏彩超检查发现大体内容为：</span></span></font></span>
        </p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US"></span></span></font></span>&nbsp; </p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US">主动脉根部12mm&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 左房12mm </span></span></font></span></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US"></span></span></font></span>&nbsp; </p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US">室间隔3mm&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;左室舒张末内径27mm&nbsp;&nbsp;&nbsp;&nbsp;左室收缩末内径14mm</span></span></font></span>
        </p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US"></span></span></font></span>&nbsp; </p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US">左室后壁2.5mm&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 左室10mm</span></span></font></span>
        </p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="COLOR: black;"><span lang="EN-US">&nbsp; <p></p></span></span></font></span></p><p></p><p></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体">（<span lang="EN-US">1）内脏正位，心房正位，心室右袢，左室内径偏大，余房室内径增大不明显； <p></p></span></font></span></p><p></p><p></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体">（<span lang="EN-US">2）室间隔膜周部可见回声中断达５mm,CDEI示该处左至右分流，分流速4m/s,压差67mmHg,房水平未见分流； <p></p></span></font></span></p><p></p><p></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体">（<span lang="EN-US">3）各瓣膜形态活动正常，余瓣口多普勒超声未见异常血流； <p></p></span></font></span></p><p></p><p></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体">（<span lang="EN-US">4）大血管连接走向和内径正常，多普勒超声未见大血管水平分流；</span></font></span></font></span></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span lang="EN-US"></span></font></span></font></span>&nbsp;</p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span lang="EN-US"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体"><span style="FONT-SIZE: 16pt; COLOR: black; mso-bidi-font-size: 12.0pt;"><font face="宋体">（５<span lang="EN-US">）心包回声正常，心包腔未见液暗区。</span></font></span></font></span></span></font></span></font></span></p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span lang="EN-US" style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"></span>&nbsp;</p><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span lang="EN-US" style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"></span>&nbsp;</p><span lang="EN-US" style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"><p></p></span><p></p><span style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"><span style="COLOR: black;"><p style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32pt; TEXT-ALIGN: justify; mso-line-height-alt: 12.0pt; mso-char-indent-count: 2.0; mso-char-indent-size: 16.0pt;"><span lang="EN-US" style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"><span style="COLOR: black;">&nbsp;<p></p></span></span></p></span></span><span lang="EN-US" style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"><span style="COLOR: black;">&nbsp;<p></p></span></span><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 12.0pt;"><span style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">超声提示：先天性心脏病<span lang="EN-US">
& [( t1 ^) T1 M5 y. S  X4 Z                                <p></p></span></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 119.25pt; mso-line-height-alt: 12.0pt;"><span style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">室间隔缺损（膜周型）<span lang="EN-US">
                                <p></p></span></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 12.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">请问：<span lang="EN-US">(1)</span></span><span lang="EN-US" style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"> 医院的检查结果是否表明有<span style="COLOR: black;">自愈的倾向，这样的血流分流速度自行愈合的几率大不大</span> ； <p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 48pt; mso-line-height-alt: 12.0pt; mso-char-indent-count: 3.0; mso-char-indent-size: 16.0pt;"><span lang="EN-US" style="FONT-SIZE: 16pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">(2)以后应该怎样做才好。</span>
        </p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 48pt; mso-line-height-alt: 12.0pt; mso-char-indent-count: 3.0; mso-char-indent-size: 16.0pt;"><span lang="EN-US" style="FONT-SIZE: 16pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"></span>&nbsp;</p><span lang="EN-US" style="FONT-SIZE: 16pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 48pt; mso-line-height-alt: 12.0pt; mso-char-indent-count: 3.0; mso-char-indent-size: 16.0pt;"><span style="FONT-SIZE: 16pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">恳请答复，</span><span style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt;">不胜感激！！！</span></p></span>

陆医生

近期的复查报告呢？

玲珑郎

<p>０6年4月23日，到医院进行了复查，心脏超声诊断报告单如下：</p><p>&nbsp;</p><p>右室流出道16mm&nbsp; 主动脉根部16mm&nbsp; 左房17mm&nbsp; 左室流出道15mm&nbsp; </p><p>&nbsp;</p><p>室间隔6mm&nbsp; 左室舒张末内径30mm&nbsp;&nbsp; 左室收缩末内径19mm </p><p>&nbsp; </p><p>左室后壁5mm&nbsp;&nbsp; 右室14mm&nbsp; 主动脉13mm </p><p>&nbsp;</p><p>左室收缩功能：EF:69% </p><p>&nbsp; </p><p>左室舒张功能：二尖瓣A/E&lt;1 </p><p>&nbsp; </p><p>（1）内脏正位，心房正位，心室右袢，左室内径偏大，余房室内径正常； </p><p>&nbsp; </p><p>（2）室间隔膜周部可见回声中断达５mm,CDEI示该处左至右分流，房水平未见分流； </p><p>&nbsp;</p><p>（3）各瓣膜形态活动正常，余瓣口多普勒超声未见异常血流； </p><p></p><p>（4）大血管连接走向和内径正常，多普勒超声未见大血管水平分流；</p><p>&nbsp;</p><p>（５）心包回声正常，心包腔未见液暗区。</p><p></p><p>&nbsp;</p><p></p><p>超声提示：先天性心脏病 </p><p></p><p>室间隔缺损（膜周型） <br/></p>

玲珑郎

<p>谢谢您的回复!</p><p>这是近期的复查报告:</p><p>０6年4月23日，到医院进行了复查，心脏超声诊断报告单如下：&nbsp;</p><p>右室流出道16mm&nbsp; 主动脉根部16mm&nbsp; 左房17mm&nbsp; 左室流出道15mm&nbsp; </p><p>室间隔6mm&nbsp; 左室舒张末内径30mm&nbsp;&nbsp; 左室收缩末内径19mm </p><p>左室后壁5mm&nbsp;&nbsp; 右室14mm&nbsp; 主动脉13mm </p><p>左室收缩功能：EF:69% </p><p>左室舒张功能：二尖瓣A/E&lt;1 </p><p>（1）内脏正位，心房正位，心室右袢，左室内径偏大，余房室内径正常； </p><p>（2）室间隔膜周部可见回声中断达５mm,CDEI示该处左至右分流，房水平未见分流； </p><p>（3）各瓣膜形态活动正常，余瓣口多普勒超声未见异常血流； </p><p></p><p>（4）大血管连接走向和内径正常，多普勒超声未见大血管水平分流；</p><p>（５）心包回声正常，心包腔未见液暗区。</p><p>等您的答复.谢谢!</p>

陆医生

06年4月30号？这叫近期？