两个月女婴，房间隔缺损合并动脉导管未闭

cuihongxia

<p>我家侄女刚满两个月，体重5公斤左右，上周查出先天性房间隔缺损（直径2mm）合并动脉导管未闭，由于我在广州，宝宝在安徽老家，所以我提供不了宝宝的详细资料，请谅解。请问版主：宝宝的这种情况，需要尽快做手术，还是先观察？哪里有比较先进的技术？</p>

陆医生

仔细阅读版面规则。

cuihongxia

<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;;">超声所见：</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">1、<span style="FONT: 7pt &quot;Times New Roman&quot;;"><font size="3">&nbsp; </font></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;;">各心房、室内径正常高限，室间隔连续完整。室间隔及左室游离壁厚度正常，运动幅度正常</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;;"><font size="3">&nbsp; </font></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;;">房间隔中段回声失落，缺损处：</span><span lang="EN-US"><font face="Times New Roman">4mm</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;;">；动脉导管处显示管状沟通，大小</span><span lang="EN-US"><font face="Times New Roman">2*2mm</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;;">。</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;;"><font size="3">&nbsp; </font></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;;">各瓣膜形态、结构及启闭运动未见异常。降主动脉峡部与左肺动脉起始部之间可见一异常管腔样回声，主动脉侧风径约</span><span lang="EN-US"><font face="Times New Roman">3mm</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;;">，肺动脉侧内径为</span><span lang="EN-US"><font face="Times New Roman">2mm</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;;">。</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;;"><font size="3">&nbsp; </font></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;;">多普勒检查：攻手主肺动脉端探及源于降主动脉的双期左向右连续性分流血流频谱，</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;;">显示左房至右穿房隔血流分流。连续波估测肺动脉收缩压为：</span><span lang="EN-US"><font face="Times New Roman">30mmHg.</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;;">诊断：先天性心脏病：</span><span lang="EN-US"><font face="Times New Roman">1</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;;">、房间隔小缺损（卵圆孔形）（左房至右房血流分流）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">2</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;;">、动脉导管未闭（动脉水平左向右分流）</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;;">以上是宝宝的彩超资料，请版主给点意见</span></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 半岁复查吧，不排除自愈可能。

cuihongxia

<p>谢谢版主</p><p>上述情况是在芜湖市第二人民医院检查出来的,需不需要再去贵院进一步确诊?宝宝患了肺炎,治了一个多星期,昨天刚出院,还有先天性喉喘鸣,这些会不会影响宝宝的发育?</p>

cuihongxia

<p>请版主给点宝贵建议</p>

陆医生

有喉喘鸣的话建议进行胸部CT检查，看有无气道问题。

cuihongxia

<p>谢谢版主!</p><p>有没有专业的先心宝宝术前哺养咨询处?有知情的请留言或QQ联系,号码389250978,多谢各位好心人</p>

cuihongxia

<p>希望所有的先心宝宝能健康快乐的长大,也希望社会能多点对先心病的认识</p>

cuihongxia

<p>大家可以去QQ群里多交流交流啊</p>

cuihongxia

<p>宝宝情况很好，多谢各位．</p>[em44]