宝宝法四，我该怎么办?

xiaoniuniu

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 31.5pt; TEXT-INDENT: -31.5pt; mso-char-indent-count: -3.0; mso-char-indent-size: 10.5pt;"><span lang="EN-US"><font face="Times New Roman">我女儿才10天出生时体重2.8公斤,在郑州检查出法四,下面是检查报告。上面都是医学用语看不明白不知道<br/>严重吗？对宝宝的智力发育有没有影响？最佳的手术时机是什么时候？手术费用要多少?希望版主能帮帮我。<br/></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 31.5pt; TEXT-INDENT: -31.5pt; mso-char-indent-count: -3.0; mso-char-indent-size: 10.5pt;"><span lang="EN-US"><font face="Times New Roman">IDE:1</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">、心脏位置正常，心房正位，房室连接一致，主动脉骑跨与室间隔上，骑跨率</span><span lang="EN-US"><font face="Times New Roman">50%</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，肺动脉发自右室。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 31.5pt; TEXT-INDENT: -31.5pt; mso-char-indent-count: -3.0; mso-char-indent-size: 10.5pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>2</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">、房间隔连续完整，室间隔回声中断（双动脉下），对位不良，</span><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">示双向分流信号</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 31.5pt; TEXT-INDENT: -31.5pt; mso-char-indent-count: -3.0; mso-char-indent-size: 10.5pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>3</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">、右心大，肺动脉狭窄，肺动脉瓣回声增强，开放受限，瓣环处约</span><span lang="EN-US"><font face="Times New Roman">4.5</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，主干</span><span lang="EN-US"><font face="Times New Roman">4.8</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32.25pt;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">分叉处</span><span lang="EN-US"><font face="Times New Roman">7.2</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">（</span><span lang="EN-US"><font face="Times New Roman">RPA: 3.7---3.4,LPA: 3.3----3.4</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">）</span><font face="Times New Roman"><span lang="EN-US">.</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32.25pt;"><span lang="EN-US"><font face="Times New Roman">4</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">、房室瓣及半月瓣启闭可见。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 32.25pt;"><span lang="EN-US"><font face="Times New Roman">5</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">、左位主动脉弓，未见动脉导管开放。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PRV</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">AAO</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">0.8<span style="mso-spacerun: yes;">&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DAO</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">1.0<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MPA</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">3.1(RPA</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">2.1<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LPA</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">2.1)<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MV</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">0.7<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>TV</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">0.6<span style="mso-tab-count: 1;">&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RVOT</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><font face="Times New Roman"><span lang="EN-US">1.5</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><font face="Times New Roman"><span lang="EN-US">MR(-)<span style="mso-tab-count: 1;">
- N& {0 C" C8 J3 [- Q& w9 |8 ]; u                                </span><span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TR(-)<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>AR(-)<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>PR(-)</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">其它：</span><span lang="EN-US"><font face="Times New Roman">LVDD</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">133.7<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RVDD</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">11.9<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPWD</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">3.7<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>AO</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><font face="Times New Roman"><span lang="EN-US">11.7</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp; </span>LVDS</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman"> 9.2<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">右室前壁厚：</span><span lang="EN-US"><font face="Times New Roman">4.0<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVPWS</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><span lang="EN-US"><font face="Times New Roman">5.5<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LA</font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><font face="Times New Roman"><span lang="EN-US">11.7</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp; </span>EF<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><font face="Times New Roman"><span lang="EN-US">65%</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp; </span>FS<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">：</span><font face="Times New Roman"><span lang="EN-US">32%</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-family: Arial; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">提示：先天性心脏病：法洛氏四联症</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: Arial;"><p></p></span></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 建议半岁到一岁间手术治疗，费用5万元左右，对智力不会有影响。

xiaoniuniu

<p>从报告单上能看出我宝宝肺动脉发育情况吗?</p><p>宝宝的情况在法四里是最重的吗?</p><p>什么样的情况(能说一下具体的指标准吗?)要作姑息手术?</p>

陆医生

<p>看起来肺动脉发育还可以，但建议3个月时复查一次再说。</p>