[原创]重症先心病求助

chuzhirui

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><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;;"></span></p><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主要检查结果：</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </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;;">血常规：</span><font face="Times New Roman"><span lang="EN-US">WBC13.8X10</span>^{<span lang="EN-US" style="mso-bidi-font-size: 10.5pt;">9</span>}<span lang="EN-US">/L</span></font><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><span lang="EN-US"><font face="Times New Roman">N0.192</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><span lang="EN-US"><font face="Times New Roman">L0.691</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><span lang="EN-US"><font face="Times New Roman">HB137g/L</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><font face="Times New Roman"><span lang="EN-US">BPC232X10</span>^{<span lang="EN-US" style="mso-bidi-font-size: 10.5pt;">9</span>}<span lang="EN-US">/L</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">；血所分析</span><span lang="EN-US"><font face="Times New Roman">PH7.22</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><font face="Times New Roman"><span lang="EN-US">PCO</span>_{<span lang="EN-US" style="mso-bidi-font-size: 10.5pt;">2</span>}<span lang="EN-US">60.5mmol/L</span></font><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><font face="Times New Roman"><span lang="EN-US">CL</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;">-102.1mmol/L</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt;">。肝功能、肾功能、</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">CRP</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;; mso-bidi-font-size: 10.5pt;">等检查大致正常；心电图：</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><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;; mso-bidi-font-size: 10.5pt;">、窦性心动过速</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><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;; mso-bidi-font-size: 10.5pt;">、</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">ST-T</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;; mso-bidi-font-size: 10.5pt;">改变；心超：先天性心脏病</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">L</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;; mso-bidi-font-size: 10.5pt;">室间隔缺损（膜周型，中断达</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">8mm</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;; mso-bidi-font-size: 10.5pt;">），房间隔缺损（Ⅱ孔型，中断达</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">5mm</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;; mso-bidi-font-size: 10.5pt;">）</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt;">治疗摘要：吸氧纠正缺氧，万托林、普米克令舒雾化、吸痰保持气道通畅㈩头孢替安针</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">100mg/kg/d</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;; mso-bidi-font-size: 10.5pt;">联合阿莫西林舒巴坦</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">100mg/kg/d</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;; mso-bidi-font-size: 10.5pt;">分二次静脉滴注抗感染，细辛脑针袪痰解痉㈩补液支持及对症治疗如镇静、强心、利尿。</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p><font face="Times New Roman">&nbsp;</font></p></span></b></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left;"><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt;">出院时情况：</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p></p></span></b></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt;">一般情况较入院时好转，体温正常，无呻吟，仍咳嗽、声嘶。</span><span lang="EN-US"><font face="Times New Roman">PE</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><span lang="EN-US"><font face="Times New Roman">T36.5</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;;">℃、神志清，精神软，皮肤巩膜轻度黄染。呼吸急促，心率</span><span lang="EN-US"><font face="Times New Roman">156</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;;">次</span><span lang="EN-US"><font face="Times New Roman">/</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;;">分，心间偏低钝，律尚齐，心前区Ⅲ</span><span lang="EN-US"><font face="Times New Roman">-</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;;">Ⅳ°</span><span lang="EN-US"><font face="Times New Roman">/6SM</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;;">，传导广泛。腹软不胀，肝肋下</span><span lang="EN-US"><font face="Times New Roman">1cm</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;;">，质软，边锐。四肢末端温，无花纹，毛细血管现充盈时间正常。病情有所好转。</span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">现患儿在家疗养：、没有什么药物配合治疗，吸奶有时会呛着，吃不多且不舒服，其这症状良好，平时也不哭闹。</span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">请问专家患者病情严重程度如何，能否有治愈的可能，最理想的治疗方案是什么，如治疗小孩何是为最佳手术时期，费用大概是多少？现在需要什么药物配合治疗？平时应注意什么？敬请回音，万分谢意！</span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; TEXT-ALIGN: left; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">邮箱：</span><span lang="EN-US"><a href="mailto:zhili2729@163.com"><font face="Times New Roman">zhili2729@163.com</font></a><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>QQ</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><span lang="EN-US"><font face="Times New Roman">616206021<span style="mso-spacerun: yes;">&nbsp; </span></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;;">手机：</span><span lang="EN-US"><font face="Times New Roman">15988700360</font></span></p>

lingpeihao

<p>孩子现在有48天了，治疗时医生说是重度肺炎，现在在家观察一般还好。</p>

wincatcher

<p>孩子多大？肺炎几次了？如偶尔肺部感染建议1岁左右手术（不能介入）治疗。如感染已多次则需要更早。平时注意预防感染。没有药物。</p>