手术最佳时间？？急盼！！！

山东果果

<div style="LINE-HEIGHT: 22px; HEIGHT: 22px;"><div style="FLOAT: left;"><img alt="发贴心情" src="http://www.babyheart.com.cn/skins/Default/topicface/face5.gif"/></div><b>[原创]最佳手术时间？</b></div><div style="PADDING-RIGHT: 0px; MARGIN-TOP: 10px; FONT-SIZE: 12pt; OVERFLOW-X: hidden; WIDTH: 97%; WORD-BREAK: break-all; TEXT-INDENT: 24px; LINE-HEIGHT: normal; HEIGHT: 200px; WORD-WRAP: break-word;"><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: 'times new roman'; mso-hansi-font-family: 'times new roman';">这是我们家宝宝检查的结果。我想咨询一下大夫，像这种情况多大年龄是手术的最佳时间？咱们医院以前有没有类似的病例？手术费用大约是多少？手术成功后对以后的生活会有什么影响？谢谢。</span></b></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: 'times new roman'; mso-hansi-font-family: 'times new roman';">年龄：</span><span lang="EN-US"><font face="Times New Roman">115</font></span></b><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">天</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">性别：女</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">仪器型号：</span><span lang="EN-US"><font face="Times New Roman">PHLPS7500 <p></p></font></span></b></p><p></p><p></p><p></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 59.05pt; TEXT-INDENT: -59.05pt; mso-char-indent-count: -4.9;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">超声描述</span></b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">：右心室内径增大，余房室腔内径正常。大动脉位置关系正常。心内“十”字结构消失，共同瓣分化差，可见发育较小的二间瓣前叶及三尖瓣隔叶，其腱索附着于室间隔断端与右室面。房间隔下段回声中断，距房室瓣距离约</span><span lang="EN-US"><font face="Times New Roman">0.90cm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。室间隔上段见回声中断，约</span><span lang="EN-US"><font face="Times New Roman">0.75cm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">二尖瓣前叶可探及一裂隙。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 63pt; TEXT-INDENT: -5.25pt; mso-char-indent-count: -.5; mso-para-margin-left: 5.5gd;"><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">：四个心腔血流信号互相交。二尖瓣见中重度反流信号，反流束穿过二尖瓣前叶。三尖瓣见中度反流信号</span><span lang="EN-US"><font face="Times New Roman">CW</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">测</span><span lang="EN-US"><font face="Times New Roman">Vmax</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">：</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="359" unitname="cm"></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US">359cm</span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US">/s</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，</span><span lang="EN-US"><font face="Times New Roman">PGmax</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">：</span><span lang="EN-US"><font face="Times New Roman">51mmHg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">，估测肺动脉收缩压约为</span><span lang="EN-US"><font face="Times New Roman">56mmHg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。房间隔卵圆孔处探及一细小的左向右分流信号，束宽约</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".15" unitname="cm"></chmetcnv><chmetcnv></chmetcnv><span lang="EN-US"><font face="Times New Roman">0.15cm</font></span><chmetcnv></chmetcnv><chmetcnv></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">。</span></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: 'times new roman'; mso-hansi-font-family: 'times new roman';">超声提示</span></b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">：复杂型先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">完全型心内膜垫缺损</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">二尖瓣前叶裂并中重度反流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">三尖瓣中度反流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">继发性肺动脉高压</span></p></div>

陆医生

此类疾病最好在生后3个月内手术治疗，否则手术效果会越来越差，我们每年遇到很多此类病例，抓紧时间吧。

山东果果1

<p>先谢谢大夫。</p><p>孩子是06年11月11日出生的，</p><p>截止到今天已经116天了，</p><p>初步预约的是周三下午，</p><p>周一等电话，</p><p>没问题周二我就赶过去。</p><p>我还想问一下，</p><p>如果手术费用大约是多少？</p><p>手术后孩子能不能像正常人那样生活，</p><p>还是需要终身吃药？</p>

陆医生

手术费用大概要5万元左右，同时还要判断小孩是否有智力方面的问题，因为CAVC常常合并21三体综合征，如果排除后，术后效果应该还是不错的，不需终身服药。

山东果果

<p>谢谢版主，</p><p>后天去了看看情况，</p><p>有问题再咨询。</p><p>再次表示感谢。</p>

山东果果

<p>已回来，</p><p>据大夫说手术非常成功，</p><p>谢谢所有的医护人员，</p><p>他们不仅医术高明，</p><p>医德更是高尚。</p><p>现在细心照看，</p><p>等三个月后复查，</p><p>期待能有更好的消息。</p><p>再次感谢！！！</p>

陆医生

希望能把亲身经历记录下来，发表在我们的论坛上，我们会酌情奖励的。

xjh7501

您好，我宝宝也是CAVC，希望以后多交流，QQ471031484，电话：15927065822