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求助:房缺+室缺

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发表于 2007-1-31 00:33:49 | 显示全部楼层 |阅读模式
<p>医生:您好!</p><p>&nbsp;&nbsp;&nbsp;&nbsp; 我儿子是06-11-29号出生的,10天的时候在当地市医院检查有<u><strong>房缺+室缺+肺动脉压增高,</strong></u></p><p>后在江西省儿童医院复查,情况如下:</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">超声描述:</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">M</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">型超声心动图(</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">cm</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">)</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVDd2.1<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>RVDd<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>IVSd0.4<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPWd0.4<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>Ao1.5<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVEF77<span style="mso-spacerun: yes;">&nbsp; </span>%<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVDs1.2<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>RVOT<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>IVSs0.8<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPWs0.6<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>LA1.3<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVFS43<span style="mso-spacerun: yes;">&nbsp; </span>%<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">频谱多普勒超声(</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">m/s</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">)</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">:Aao1.2<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>Dao<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>MPA1.6<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>MV0.9<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>TV1.0<p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">彩色多普勒超声:</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">MR </span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">阴性</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>TR </span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">细微</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp; </span>AI </span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">阴性</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp; </span>pI </span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">细微</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">心房水平</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp; </span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">左向右分流</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp; </span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">心室水平</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp; </span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">左向右分流</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">大动脉水平</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp; </span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">无分流</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">心脏位置及连接正常。左房、左室稍增大。肺动脉稍增宽(肺动脉瓣环</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"> 1.0CM,</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">总干</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">1.2CM, LPA0.5CM, RPA0.5CM</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">)。<strong><u>房间隔中、下部各见一处缺损,大小分别约</u></strong></span><strong><u><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">0.2cm</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">、</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">0.4cm</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">。室间隔缺损约</span></u></strong><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><strong><u>0.62cm</u></strong>,</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">膜周流入道,少部分三尖瓣组织附着,分流口</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">0.4cm,</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">左向右分流,分流速</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">3.1m/s</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">。房室瓣开放活动可。左位主动脉弓。未见明显动脉管开放。</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><strong><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">超声提示:</span><span style="COLOR: black; FONT-FAMILY: Tahoma;">
0 }, G: D( S+ Q/ Z9 r                        </span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">室间隔缺损;</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></strong></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><strong><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">房间隔缺损(</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: Tahoma;">Ⅱ</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">)</span></strong></p><p><strong>请问: 1、这种情况严重吗? 如果要手术,什么时间最好?</strong></p><p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2、目前可以注射疫苗吗?</strong></p><p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;期盼您的答复,谢谢!&nbsp; </strong></p>
     
发表于 2007-1-31 04:55:59 | 显示全部楼层
您好:<br/>&nbsp;&nbsp;&nbsp; 建议半岁复查,可以预防接种。
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 楼主| 发表于 2007-1-31 19:05:35 | 显示全部楼层

[原创]

<p>&nbsp;<strong>&nbsp;&nbsp; 谢谢您的回复。</strong></p><p><strong>&nbsp;&nbsp;&nbsp;&nbsp; 孩子目前两个月了。奶吃的不多,睡觉时眼睛老往上翻,而且有时候象大人做噩梦似的会大声惊叫,请问这是先心病引起的吗?要紧吗?</strong></p><p><strong>&nbsp;&nbsp;&nbsp; 每半年做一次复查吗&nbsp; 这样拖下去 如果不见他自愈 什么时间做手术最合适?</strong></p><p><strong>&nbsp;&nbsp;&nbsp;&nbsp; 期待您的回复,谢谢!</strong></p>
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发表于 2007-2-1 22:25:00 | 显示全部楼层
您好:<br/>&nbsp;&nbsp;&nbsp; 眼睛上翻的问题建议看儿童保健门诊,估计跟心脏关系不大;<br/>&nbsp;&nbsp;&nbsp; 如果没有自愈,建议1岁左右手术治疗。
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 楼主| 发表于 2007-3-15 18:29:06 | 显示全部楼层
<p>医生 您好</p><p>我宝宝现在107天, 体重5.5KGS,体检时心脏杂音还是很重&nbsp; </p><p>最近这一段时间手心 脚心老出汗 跟心脏有没有关系.</p>
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发表于 2007-3-16 06:29:00 | 显示全部楼层
那就及早考虑手术治疗吧。
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 楼主| 发表于 2007-3-16 18:49:18 | 显示全部楼层
<p>医生,你好!</p><p>&nbsp;&nbsp;&nbsp; 孩子吃奶时额头没有出汗,吃奶也挺好的,就是手脚总出汗,能不能观察到一周岁再手术.</p><p>手脚多汗表示心脏是在朝不好的方向发展吗?</p><p>&nbsp;&nbsp;&nbsp; </p><p></p><p>&nbsp; </p><p></p>
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