小孩的先心严重吗？是室缺膜周部。。帮忙评价病情和治疗建议

zhong

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">我小孩现已</span><span lang="EN-US"><font face="Times New Roman">3</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个多月，平时没有感冒发烧，偶有咳两声，无青紫，</span><span lang="EN-US"><font face="Times New Roman">0-1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个月时吃奶较常有汗，现很少有汗，头向下时有口水泡吐出，其它情况较正常。</span><span lang="EN-US"><font face="Times New Roman">3</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个月又</span><span lang="EN-US"><font face="Times New Roman">10</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">天时在心血管检查超声结果如下：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">M</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">型超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">RVD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="9" unitname="mm">9mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ARD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="10" unitname="mm">10mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="24" unitname="mm">24mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp; </span>ASD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12" unitname="mm">12mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVS <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="15" unitname="mm">15mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>PAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="11" unitname="mm">11mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="mm">4mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>LPAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="mm">4mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVPW <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="mm">4mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp; </span>RPAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="5" unitname="mm">5mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="14" unitname="mm">14mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>LVOT <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="11" unitname="mm">11mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EF<span style="mso-spacerun: yes;">&nbsp; </span>69%<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>FS36%</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: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二维超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IAS</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">　脱失</span><span lang="EN-US"><font face="Times New Roman">*mm</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PE<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">无</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: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">多普勒超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Vmax (m/sec)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AV 1.0<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>MV 1.1/0.6<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>PV 0.9<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>TV 0.6/0.5</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: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">描述：心房正位，心室右袢。左心房室内径稍增大，房间隔回声未显示明显脱失，室间隔膜周部向右室侧膨突，基底部</span><span lang="EN-US"><font face="Times New Roman">6*<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7" unitname="mm">7mm</chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，高</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="5" unitname="mm"><span lang="EN-US"><font face="Times New Roman">5mm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，顶部回声脱失</span><span lang="EN-US"><font face="Times New Roman">4*<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3" unitname="mm">3mm</chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span><span style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">各</span><span style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;">瓣膜结构未显示明显异常。主、肺动脉内径及位置关系正常，主动脉弓降部未显示异常。冠状动脉开口及内径未见异常。心包未见积液回声。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;">CDFI</span><span style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;">：右室内显示源自左室的过缺损室间隔分流信号，峰值分流速度<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4.8" unitname="m"><span lang="EN-US">4.8m</span></chmetcnv><span lang="EN-US">/s</span>，峰值压差<span lang="EN-US">93mmHg;</span>右房内显示源自左房过隔分流信号，分流束宽<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3" unitname="mm"><span lang="EN-US">3mm</span></chmetcnv>。收缩期右房内显示源自三尖瓣的少量反流信号。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;">诊断：室间隔缺损<span lang="EN-US">(</span>膜周部<span lang="EN-US">)<p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-FAMILY: 新宋体; mso-bidi-font-size: 10.5pt;">室、房水平左向右分流<span lang="EN-US"><p></p></span></span></p><p></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 建议半岁再复查一次，看有无自愈倾向。

zhong

<p><font face="宋体">间隔膜周部向右室侧膨突，基底部</font><span lang="EN-US"><font face="Times New Roman">6*<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>7mm<chmetcnv></chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，高</span><chmetcnv unitname="mm" sourcevalue="5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></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: 'times new roman'; mso-hansi-font-family: 'times new roman';">，顶部回声脱失</span><span lang="EN-US"><font face="Times New Roman">4*<chmetcnv unitname="mm" sourcevalue="3" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>3mm</font></span></p><p><span lang="EN-US"><font face="Times New Roman">是不是在自愈？？？？？<chmetcnv></chmetcnv></font></span></p>