室间隔缺损的急诊

sunrui

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">你好：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 18pt; mso-char-indent-count: 1.5;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">我儿子今年一岁半，身高</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">80cm</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，体重</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">10.5</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">公斤，精神状况现在也很好，睡眠也很好，在去年</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">10</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">月的时候因为发烧检查也他换有先天性心脏病。<b style="mso-bidi-font-weight: normal;">具体报告如下：</b></span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 20.5pt; mso-char-indent-count: 1.71;"><span style="FONT-SIZE: 12pt; 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" style="FONT-SIZE: 12pt;"><font face="Times New Roman">AO</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">14<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">右室流出道（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">RVOT</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">20<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-SIZE: 12pt; 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" style="FONT-SIZE: 12pt;"><font face="Times New Roman">LA</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">28<p></p></font></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 20.5pt; mso-char-indent-count: 1.71;"><span style="FONT-SIZE: 12pt; 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：双峰逆向</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">右室内径（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">RV</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">19<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">室间隔振幅</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">/</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">厚度（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">IVS</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">7/7<p></p></font></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 20.5pt; mso-char-indent-count: 1.71;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左室舒未内径（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">LVD</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">31<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左室收末内径（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">LVS</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">19<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span></font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左室后璧振幅</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">/</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">厚度（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">LVPW</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">8/7<p></p></font></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 20.5pt; mso-char-indent-count: 1.71;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左室流出道内径（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">LVOT</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">20<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主肺动脉内径（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">MPA</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">15<p></p></font></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">频谱多普勒（速度为</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">m/s,</font></span></b><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">压力为</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">mmHg</font></span></b><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></b></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 18pt; mso-char-indent-count: 1.5;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">MVE 1.09<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>MVA 0.95<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>VAO 0.99<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>VPA<span style="mso-spacerun: yes;">&nbsp; </span>1.28<p></p></font></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">二维超声所见</span></b><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">：</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 18pt; mso-char-indent-count: 1.5;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左室、左房扩大，右室轻度增大，室间隔高位紧靠肺动脉瓣下可见异常回声失落，最大缺顺约</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">9mm,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主肺动脉内径增宽（</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">15mm</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">）</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">.</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">房间隔回声连续正常，大血管水平未见确切通道。各瓣膜形态运动未见明显异常。</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">彩超及多普勒检测：</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></b></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 18pt; mso-char-indent-count: 1.5;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">室间隔回声失落处可见收缩期左向右红色为主分流，</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">CW</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">测及正向单峰状频谱分流速</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">Vmax=3.75m/s,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心房水平未探及分流。肺动脉前向血流加快</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman">Vmax=1.28m/s,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">二类瓣上探及少量返流，余各瓣膜口两侧未见明显异常血流信号。</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声诊断：</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></b></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 18pt; mso-char-indent-count: 1.5;"><span style="FONT-SIZE: 12pt; 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：室间隔大缺损（干下型）</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">室水平左向右分流</span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"><strong>&nbsp;&nbsp; <font color="#000000">请问：我儿子的病严重吗？有没有自愈的可能性？如果手术的话，什么时候最佳时期？可不可以用介入手术？</font></strong></span><span lang="EN-US" style="FONT-SIZE: 12pt;"><p></p></span></p><p></p><p></p>
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