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<font color="#0000ff"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font color="#000000">版主，您好！</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font color="#000000"></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font color="#000000">我的小侄女3/11出生，体重5.7斤,但是医院检测到有先天性心脏病，孩子目前要吸氧才能正常呼吸，以下为<span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font color="#000000">湖南省儿童医院的超声报告，请问孩子的这种情况可以做手术吗？盼望能得到您的尽快答复，非常感谢！！！</font></span></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font color="#000000"></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><font color="#000000">超声所见：</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心脏二维、</span><span lang="EN-US"><font face="Times New Roman">M</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">型、频谱多普勒血流测值：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">主动脉：窦部</span><span lang="EN-US"><font face="Times New Roman">13mm</font></span><span style="FONT-FAMILY: 宋体; 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">10mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。左心房：</span><span lang="EN-US"><font face="Times New Roman">13mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。左心室</span><span lang="EN-US"><font face="Times New Roman">12mm</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：</span><span lang="EN-US"><font face="Times New Roman">5mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">，左室后壁</span><span lang="EN-US"><font face="Times New Roman">4mm, </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右室前壁</span><span lang="EN-US"><font face="Times New Roman">5mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右房</span><span lang="EN-US"><font face="Times New Roman">17mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">；右室</span><span lang="EN-US"><font face="Times New Roman">17mm;</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉</span><span lang="EN-US"><font face="Times New Roman">16mm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。左肺动脉</span><span lang="EN-US"><font face="Times New Roman">13mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右肺动脉</span><span lang="EN-US"><font face="Times New Roman">20mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉：</span><span lang="EN-US"><font face="Times New Roman">Vmax411cm/s,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">压差</span><span lang="EN-US"><font face="Times New Roman">67mmHg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。主动脉：</span><span lang="EN-US"><font face="Times New Roman">Vmax66cm/s</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">二尖瓣：</span><span lang="EN-US"><font face="Times New Roman">E</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">峰</span><span lang="EN-US"><font face="Times New Roman">86cm/s</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左心室收缩功能测定：</span><span lang="EN-US"><font face="Times New Roman">FS</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">36%</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">EF</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">70%</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">SV</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">2.75ml,<span style="mso-spacerun: yes;"> </span>CO</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">0.44L/M.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右房右室增大，左房左室不大，室间隔与左室后壁呈逆向运动。大动脉短轴切面</span><span lang="EN-US"><font face="Times New Roman">10-12</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">点位置膜周部见室见隔回声中断，缺口大小约</span><span lang="EN-US"><font face="Times New Roman">6mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">，缺损处可见双向分流，以右向左蓝色血流为主。房间隔中上部见回声中断约</span><span lang="EN-US"><font face="Times New Roman">14mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">大血管排列正常未见交通支。肺动脉主干及分支显著增宽，肺动脉主干内径约</span><span lang="EN-US"><font face="Times New Roman">16mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右肺动脉</span><span lang="EN-US"><font face="Times New Roman">20mm,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左肺动脉</span><span lang="EN-US"><font face="Times New Roman">13mm,<span style="mso-spacerun: yes;"> </span>(</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右肺动脉呈囊状扩张</span><span lang="EN-US"><font face="Times New Roman">)</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉瓣瓣膜成分不清，开放受限，收缩期见五彩高速血流</span><span lang="EN-US"><font face="Times New Roman">Vmax411cm/s,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">压差</span><span lang="EN-US"><font face="Times New Roman">67mmHg.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">。舒张期见重度返流束</span><span lang="EN-US"><font face="Times New Roman">Vmax282cm/s,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">压差</span><span lang="EN-US"><font face="Times New Roman">41mmHg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">．余瓣膜区未探及异常彩流。心包及心包膜未见异常。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><font face="Times New Roman">-</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">超声提示（本报告仅供临床参考）：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">先天性心脏病复杂畸形：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">室间隔缺损（膜周部）室水平双向分流。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">房间隔缺损（继发孔）房水平双向分流。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉重度狭窄伴关闭不全。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左右肺动脉分支异常增宽疑合并先天性发育异常。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左心收缩功能正常范围。</span><span lang="EN-US"><font face="Times New Roman">
+ n7 }( a/ I& S* l </font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman" color="#000000"> </font></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font color="#000000"><font face="Times New Roman"> <p></p></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font color="#000000"><font face="Times New Roman"></font></font></span></p></p></font> |
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发表于 2007-3-17 17:26:18
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