有关ASD 的问题

郏睿

<p>版主, 我家宝宝的主要情况如下:<br/>1. 年龄: 43天<br/>2. 体重: 4.8 KGS<br/>3. 性别: 男<br/>4. 超声报告参考附件资料<br/><br/>问题:&nbsp; 1. 我家宝宝 自愈的可能性有多大;&nbsp; 2.&nbsp; 平时生活要注意哪些方面; 3. 什么时候复查比较合适; 4. 不能自愈的话 是否能采用介入法治疗;&nbsp; 5. 如需手术治疗, 什么时候最佳</p>

陆医生

超声？？？

郏睿

<div class="msgheader">QUOTE:</div><div class="msgborder"><b>以下是引用<i>admin</i>在2007-2-16 20:09:42的发言：</b><br/>超声？？？</div><p>不好意思, 上次本来是上传的扫描件, 不知道为什么看不见, 以下是超声报告的内容:<br/><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">临床诊断</span><span lang="EN-US"><font face="Times New Roman">:<p></p></font></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">C2<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>Map 3<br/>150dB/C3<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>150dB/C3</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Persist Low<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>Persist Low</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">2D Opt: Res<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>2D Opt: Res</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Fr Rate: High<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>Fr Rate: High<br/>BW<span style="mso-spacerun: yes;">&nbsp; </span>Pg<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><state wst="on">Col</state> 79%<span style="mso-spacerun: yes;">&nbsp; </span>Map 3<br/><state wst="on"><place wst="on">Col</place></state><span style="mso-spacerun: yes;">&nbsp; </span>Pg<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>WF Med<span style="mso-spacerun: yes;">&nbsp; </span>PRF 5000 Hz<span style="mso-spacerun: yes;">&nbsp; </span>Flow Opt: Med V </font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">TIs <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="1" unitname="mi">1.0<span style="mso-spacerun: yes;">&nbsp; </span>MI</chmetcnv> 0.8<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TIs <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="1.2" unitname="mi">1.2<span style="mso-spacerun: yes;">&nbsp; </span>MI</chmetcnv> 1.3<br/><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="6.8" unitname="cm">6.8 cm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="8.6" unitname="cm">8.6 cm</chmetcnv>
8 X3 \* t. E: {; Z8 Z% ?5 j                        </font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心脏超声测量</span><span lang="EN-US"><font face="Times New Roman">:<p></p></font></span></b></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;;">主要测值</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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;;">正常值</span><span lang="EN-US"><br/></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;;">主动脉根部内径</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="10" unitname="mm">10<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>20-37 <br/></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;;">左房内径</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="15" unitname="mm">15<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>19-40</font></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;;">左室舒张末期内径</span><span lang="EN-US"><font face="Times New Roman">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="21" unitname="mm">21<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>mm</chmetcnv>
                                <span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;</span>35-56<br/></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;;">左室收缩末期内径</span><span lang="EN-US"><font face="Times New Roman">: <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="14" unitname="mm">14<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>25-37 <br/></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;;">室间隔厚度</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="3" unitname="mm">3<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>6-11<br/></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;;">左室后壁厚度</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="3" unitname="mm">3<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>6-11<br/>EF<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>/<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>0.67+_0.08<br/>FS<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>/<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>&gt;0.26<br style="mso-special-character: line-break;"/></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声所见</span><span lang="EN-US"><font face="Times New Roman">:<p></p></font></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">1、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></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;;">右房室不大，房间隔中部见小段回声缺失，</span><span lang="EN-US"><font face="Times New Roman">CDFI</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;;">示见该处左向右分流；肺动脉不增宽，肺动脉血流图未见明显异常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">2、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></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;;">左房室内径正常，左室壁不增厚，室间隔未见回声缺失，</span><span lang="EN-US"><font face="Times New Roman">CDFI</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;;">未见室水平分流，</span><font face="Times New Roman">
# y3 ^: [/ B6 D( C: I                </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;;">静息状态下各节段收缩活动未见异常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">3、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></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;;">二尖瓣不增厚，开放不受限，彩色多普勒未测及二尖瓣反流。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 18pt; TEXT-INDENT: -18pt; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt;"><span lang="EN-US" style="mso-fareast-font-family: &quot;Times New Roman&quot;;"><span style="mso-list: Ignore;"><font face="Times New Roman">4、<span style="FONT: 7pt &quot;Times New Roman&quot;;">&nbsp; </span></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;;">主动脉不增宽，</span><font face="Times New Roman">
6 e1 M8 q! l" h7 b. C( G                </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;;">主动脉瓣不增厚，开放不受限，彩色多普勒未测及主动脉瓣反流。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">超声提示：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="mso-spacerun: yes;">&nbsp; </span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">先心：</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">
0 Q2 A% D8 B& G1 y                        </span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">房间隔缺损</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">
                        </span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">（</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">II </span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">孔型）</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">
7 k* s( Q; l6 e! e7 v                        </span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">方便的话, 能否告诉我一下您的邮箱 (我的手机是13812855118), 我将超声报告的扫描件发给你.<br/>后来我们这里的另外一个儿科医生 听小孩的心脏的时候,他说杂音并不明显, 我怕我们这里的超声有误诊, 您看多大的时候到你们中心再复诊一下比较合适.</span></p>

陆医生

估计问题不大，建议半岁到我中心复查一次。

郏睿

<p>谢谢版主<br/></p>

郏睿

<div class="msgheader">QUOTE:</div><div class="msgborder"><b>以下是引用<i>admin</i>在2007-2-21 20:24:53的发言：</b><br/>估计问题不大，建议半岁到我中心复查一次。</div><p>再请问一下版主, 我们这边妇保所的医生不让打预防针,&nbsp;&nbsp; 到底能不能打<br/>我看了前面的讨论,应该是可以打的, 这边不给打, 怎么办?</p>

全康复

可以打的。我们的做法是，心脏专科医生认为可以打而保健医生不让打，我们就隐瞒先心病情（宝宝的病情很轻）。因为防疫站的医生是根据法律法规的，他们怕承担责任，而心脏专科医生是根据病情的，确实可以打。

郏睿

<div class="msgheader">QUOTE:</div><div class="msgborder"><b>以下是引用<i>全康复</i>在2007-2-23 21:01:36的发言：</b><br/>可以打的。我们的做法是，心脏专科医生认为可以打而保健医生不让打，我们就隐瞒先心病情（宝宝的病情很轻）。因为防疫站的医生是根据法律法规的，他们怕承担责任，而心脏专科医生是根据病情的，确实可以打。</div><p>这样的啊,&nbsp; 那等我家宝宝三个月的时候到上海儿中心复查后, 上海的专家认为宝宝的病情不是很重的话, 我们再在当地打, 因为我怕我们这边的医院有误珍.&nbsp; 宝宝刚出生的时候打了预防针, 30天的时候没打, 到90天的时候打第二针应该也不算太晚吧?</p>

郏睿

你好版主，再次麻烦你，上次查出先心后，不放心当地医院的检查报告，4月9日出就是宝宝三个月时去上海儿医让陈树宝做了彩超，检查结果房缺1.7MM，报告单还没拿到，因在外地，想等宝宝6个月后到贵院复查时，拿前面一张彩超报告单，不知能拿到否吗？陈教授讲自愈可能性挺大的，不知在几岁之前会自愈？

陆医生

做过的检查我们都留有存根的，后来打印也可以，这么小的房缺，即使不自愈也没有关系。