完全性心内膜垫缺损

tangj

<p>小女,生于06年9月,早产1个月,当时体重1.98KG,现在重3.5KG.本月8号在重庆新桥医院检查得如下结果:</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">[</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;;">检查所见</span><span lang="EN-US"><font face="Times New Roman">]</font></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;;">二尖瓣前瓣可见裂隙，舒张期裂隙宽</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".39" unitname="cm"><span lang="EN-US"><font face="Times New Roman">0.39CM</font></span></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;;">；</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;;">四腔心切面显示：十字交叉处回声中断，范围１．１７ＣＭ，频谱多普勒于该处记录到分流频谱，室间间隔缺损分流速度１９９ＣＭ／Ｓ，压差１５．８ＭＭＨＧ，室间隔断端与瓣膜之间有腱索相连；</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;;">房间隔中部可见一股分流信号，范围０．２５ＣＭ；</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;;">降主动脉与左肺动脉根部可见一股局限性的红色分流束，束宽０．１ＣＭ；</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;;">二尖瓣上见局限性返流，面积０．２平方厘米；</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;;">三尖瓣上见局限性返流，面积０．４５平方厘米，返流速度３１３ＣＭ／Ｓ，压差３９．２ＭＭＨＧ；</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;;">于各瓣膜区未见返流信号；</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;;">肺动脉瓣上收缩期流速１２８ＣＭ／Ｓ，压差６．３３ＭＭＨＧ；</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 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;;">印象：</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;;">先天性心脏病：</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="mso-bidi-font-family: 宋体;"><span style="mso-list: Ignore;"><font face="Times New Roman">１．</font></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;;">右房、右室增大，左室稍大，肺动脉增宽；</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="mso-bidi-font-family: 宋体;"><span style="mso-list: Ignore;"><font face="Times New Roman">２．</font></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;;">完全性心内膜垫缺损（室间隔缺损＋房间隔缺损）；</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 lang="EN-US" style="mso-bidi-font-family: 宋体;"><span style="mso-list: Ignore;"><font face="Times New Roman">３．</font></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;;">卵圆孔未闭；</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="mso-bidi-font-family: 宋体;"><span style="mso-list: Ignore;"><font face="Times New Roman">４．</font></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;;">较小动脉导管未闭；</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="mso-bidi-font-family: 宋体;"><span style="mso-list: Ignore;"><font face="Times New Roman">５．</font></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;;">二尖瓣前瓣裂、局限性返流，二尖瓣前瓣与三尖瓣隔瓣可能为共瓣；</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="mso-bidi-font-family: 宋体;"><span style="mso-list: Ignore;"><font face="Times New Roman">６．</font></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;;">三尖瓣局限性返流、返流压差增高，考虑有肺动脉高压。</span></p><p><p></p><p>我们住在重庆,请问以什么方式联系手术事宜.什么时间做手术好?</p></p>

陆医生

您好；<br/>&nbsp;&nbsp;&nbsp; 此类疾病要在生下来后三个月内手术治疗效果才最好；<br/>&nbsp;&nbsp;&nbsp; 建议不要拖延，及早到我中心进行诊治。

tangj

<p>请问,</p><p>这类手术需要多少钱?</p><p>给我们一个范围,我们才好准备.比如</p><p>1~3万,或3~6万</p>

陆医生

可能需要5万元左右。

tangj

如果我们托上海地区朋友带小孩的检查资料来看中心门诊并开具住院单，是否还是需要挂＂专家门诊＂号或＂特需门诊＂？

陆医生

需要。