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[求助]室间隔单纯膜部缺损

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发表于 2007-1-6 21:48:37 | 显示全部楼层 |阅读模式
<p>孩子满月的时候,查出来患有先天性心脏病,全家都很痛苦,以下是彩超诊断书:</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;;">仪器型号:欧美娜</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;;">心脏测值</span><span lang="EN-US"><font face="Times New Roman">(mm)<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>Doppler</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;;">检查</span><span lang="EN-US"><font face="Times New Roman">(cm/s)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;</span></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;;">心功能检查</span><span lang="EN-US"><font face="Times New Roman">(SV. EF. FS. CO.CI)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font face="Times New Roman"><span lang="EN-US">A0 </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm"></chmetcnv><span lang="EN-US">8mm</span><chmetcnv></chmetcnv><span lang="EN-US">(21-35)<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>RV </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="9" unitname="mm"></chmetcnv><span lang="EN-US">9mm</span><chmetcnv></chmetcnv><span lang="EN-US">(&lt;23)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>SV 12ml(35-90)<span style="mso-spacerun: yes;">&nbsp; </span>Co <span style="mso-spacerun: yes;">&nbsp;</span></span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="2.1" unitname="l"></chmetcnv><span lang="EN-US">2.1 L</span><chmetcnv></chmetcnv><span lang="EN-US">/min(3-6)</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font face="Times New Roman"><span lang="EN-US">PA </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="10" unitname="mm"></chmetcnv><span lang="EN-US">10mm</span><chmetcnv></chmetcnv><span lang="EN-US">(15-25)<span style="mso-spacerun: yes;">&nbsp; </span>IVS </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="5" unitname="mm"></chmetcnv><span lang="EN-US">5mm</span><chmetcnv></chmetcnv><span lang="EN-US">(8-11)<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>EF 83%(45-75)<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>CI <span style="mso-spacerun: yes;">&nbsp;</span></span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="7.9" unitname="l"></chmetcnv><span lang="EN-US">7.9 L</span><chmetcnv></chmetcnv><span lang="EN-US">/min/m</span></font><span style="FONT-FAMILY: 宋体;">^<span lang="EN-US">2(2-3)<p></p></span></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 宋体;">LA </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="20" unitname="mm"></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">20mm</span><chmetcnv></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">(25-38)<span style="mso-spacerun: yes;">&nbsp; </span>LVPW </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="6" unitname="mm"></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">6mm</span><chmetcnv></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">(8-11)<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>FS 50%(&gt;25)<p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><line id="_x0000_s1027" to="423pt,23.4pt" from="0,23.4pt" style="Z-INDEX: 2; LEFT: 0px; POSITION: absolute; TEXT-ALIGN: left;"></line><line></line><span lang="EN-US" style="FONT-FAMILY: 宋体;">LVs </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="10" unitname="mm"></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">10mm</span><chmetcnv></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">(23-26) LVd </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="21" unitname="mm"></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">21mm</span><chmetcnv></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">(37-53) RA </span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="17" unitname="mm"></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">17mm</span><chmetcnv></chmetcnv><span lang="EN-US" style="FONT-FAMILY: 宋体;">()<p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 宋体;"><p>&nbsp;</p></span></p><p>&nbsp;</p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体;">超声描述:<span lang="EN-US"><p></p></span></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span lang="EN-US" style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></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;;">心脏</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主动脉不宽,主波搏幅尚好,重搏波可见,肺动脉正常,搏动稍增强。左心房轻度扩大,余心腔未见明显扩大。各心瓣膜尚纤细,启闭良好。主动脉根部短轴切面,主动脉右冠瓣下方主动脉前壁与室间隔连接处可见连续中断缺损,舒张末期缺损口长径</span><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="5" unitname="mm"></chmetcnv><span lang="EN-US"><font face="Times New Roman">5mm</font></span><chmetcnv></chmetcnv><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人右室。频谱多普勒显示:取样容积置于缺损口可见收缩期正向高速湍流频谱,左向右分流速度约</span><font face="Times New Roman"><chmetcnv tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="320" unitname="cm"></chmetcnv><span lang="EN-US">320cm</span><chmetcnv></chmetcnv><span lang="EN-US">/s</span></font><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 21pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p><font face="Times New Roman"></font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt;"><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:</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span lang="EN-US" style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings;"><span style="mso-list: Ignore;">l<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></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;;">先天性心脏病:室间隔单纯膜部缺损。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><font size="3"><font color="#0000ff"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">孩子现在快2个月了,除了呼吸有点急促(每分钟40多次),其他看起来还算正常(男孩,14斤重),</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;;">在此请教专家:</span></font></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#0000ff" size="3">1.孩子的病情严重吗?</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#0000ff" size="3">2.若需要手术,什么时候比较合适?</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#0000ff" size="3"></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt; TEXT-INDENT: -21pt; mso-list: l0 level1 lfo1; tab-stops: list 21.0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><font color="#0000ff" size="3">恳请专家百忙之中给解答一下,不胜感激!!</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 21pt;"><span lang="EN-US"><p><font face="Times New Roman" color="#0000ff" size="3">&nbsp;</font></p></span></p><p><font face="Times New Roman" color="#0000ff" size="3">&nbsp;</font></p><p></p><p></p><p></p><p></p>6 D# w1 d3 O9 \9 a: c8 S
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发表于 2007-1-6 23:17:43 | 显示全部楼层
您好:<br/>&nbsp;&nbsp;&nbsp; 建议半岁复查一次吧,不排除自愈可能。
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 楼主| 发表于 2007-1-8 16:25:33 | 显示全部楼层
<p>感谢您的热心回答,让我感到心安了一些,真是非常感谢! 在此,再向您问一下,请问我孩子这种情况是“干下型”室缺吗?因为我看到B超单上写的“主动脉右冠瓣下方主动脉前壁与室间隔连接处可见连续中断缺损”,缺口是不是离主动脉比较近?听说干下型无法介入治疗。</p><p>PS:这几个月来我每天都在看心脏方面的书籍,看得不是完全懂,忽而担心,忽而忧虑,可怜天下父母心呐!!</p><p></p>
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发表于 2007-1-8 22:11:55 | 显示全部楼层
如果不放心,建议到我中心明确诊断。
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