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<p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 0cm; TEXT-INDENT: 28pt; mso-para-margin-right: 1.0gd; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">我女儿<span lang="EN-US">2</span>月<span lang="EN-US">13</span>日出生。出生当天有两次哭时青紫、哭声不畅、喉喘鸣严重，下午在南京儿童医院超声诊断如下：<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 0cm; TEXT-INDENT: 28pt; mso-para-margin-right: 1.0gd; mso-char-indent-count: 2.0;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">2DE</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">：右房室及肺动脉径线增大，余房室及大血管径线正常，各瓣膜形态与运动未见异常，房间隔中部见<span lang="EN-US">10mm</span>回声中断。室隔连续。主肺动脉与降主动脉间见异常通道，长<span lang="EN-US">8mm</span>，φ<span lang="EN-US">7mm</span>。主动脉弓于动脉导管近端见<span lang="EN-US">23mm</span>缩窄端，φ约<span lang="EN-US">2</span>－<span lang="EN-US">4mm</span>不等，最窄处长<span lang="EN-US">3mm</span>，φ<span lang="EN-US">2mm</span>。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 0cm; TEXT-INDENT: 28pt; mso-para-margin-right: 1.0gd; mso-char-indent-count: 2.0;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">CDFI:</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">房水平见左→右分流，大动脉水平双向分流，速度压差均极小。肺静脉回流正常。二尖瓣、三尖瓣收缩期各见量返流，主动脉瓣舒张期见少量返流。心底部见左上腔静脉及血流，<span lang="EN-US">PP=SP</span>。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 0cm; TEXT-INDENT: 28pt; mso-para-margin-right: 1.0gd; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">超声提示：<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 64pt; TEXT-INDENT: -36pt; mso-para-margin-right: 1.0gd; mso-para-margin-top: 0cm; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 64.0pt; mso-list: l0 level1 lfo1; tab-stops: list 64.0pt;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-family: 仿宋_GB2312;"><span style="mso-list: Ignore;">一、<span style="FONT: 7pt "Times New Roman";"> </span></span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">先天性心脏病：<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 64pt; TEXT-INDENT: -36pt; mso-para-margin-right: 1.0gd; mso-para-margin-top: 0cm; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 64.0pt; mso-list: l1 level1 lfo2; tab-stops: list 64.0pt;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-family: 仿宋_GB2312;"><span style="mso-list: Ignore;">1、<span style="FONT: 7pt "Times New Roman";"> </span></span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">房间隔缺损（继发孔）房水平左→右分流<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 64pt; TEXT-INDENT: -36pt; mso-para-margin-right: 1.0gd; mso-para-margin-top: 0cm; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 64.0pt; mso-list: l1 level1 lfo2; tab-stops: list 64.0pt;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-family: 仿宋_GB2312;"><span style="mso-list: Ignore;">2、<span style="FONT: 7pt "Times New Roman";"> </span></span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">动脉导管未闭<span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span>大动脉水平双向分流<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 64pt; TEXT-INDENT: -36pt; mso-para-margin-right: 1.0gd; mso-para-margin-top: 0cm; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 64.0pt; mso-list: l1 level1 lfo2; tab-stops: list 64.0pt;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-family: 仿宋_GB2312;"><span style="mso-list: Ignore;">3、<span style="FONT: 7pt "Times New Roman";"> </span></span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">主动脉弓缩窄<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 64pt; TEXT-INDENT: -36pt; mso-para-margin-right: 1.0gd; mso-para-margin-top: 0cm; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 64.0pt; mso-list: l0 level1 lfo1; tab-stops: list 64.0pt;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-family: 仿宋_GB2312;"><span style="mso-list: Ignore;">二、<span style="FONT: 7pt "Times New Roman";"> </span></span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">永存左上腔静脉<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 10.5pt 0pt 64pt; TEXT-INDENT: -36pt; mso-para-margin-right: 1.0gd; mso-para-margin-top: 0cm; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 64.0pt; mso-list: l0 level1 lfo1; tab-stops: list 64.0pt;"><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-family: 仿宋_GB2312;"><span style="mso-list: Ignore;">三、<span style="FONT: 7pt "Times New Roman";"> </span></span></span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;">肺动脉高压<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 28pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体; mso-ansi-language: ZH-CN;">目前哭时没有青紫，有时嘴唇稍微发白，每天吃牛奶6－8次，每次40－60毫升，吃奶时要休息几次，喉喘鸣仍然严重。请问：<p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 28pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体; mso-ansi-language: ZH-CN;">1、除了手术能否有其它方法治疗？如果一定要做手术，何时手术时间最佳？要进行几次手术？<p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 28pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体; mso-ansi-language: ZH-CN;">2、现在出生已经41天，能否打预防针？<p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 28pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体; mso-ansi-language: ZH-CN;">3、喉喘鸣是否可能是喉软骨发育不良？与心脏有无关系？</span><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312;"><p></p></span></p> |
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发表于 2007-3-27 19:35:45
