动脉导管未闭、房缺、肺动脉高压

dyx9918

<p><span style="FONT-SIZE: 10pt; FONT-FAMILY: 楷体_GB2312; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">医生您好：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-fareast-font-family: 楷体_GB2312; mso-ascii-font-family: 楷体_GB2312;">&nbsp;&nbsp;</span><font face="宋体"><span lang="EN-US" style="FONT-SIZE: 10pt; mso-bidi-font-family: Arial;">
; @, w) _& X; r7 H3 H                        </span><span style="FONT-SIZE: 10pt; mso-bidi-font-family: Arial;">我女儿现在<span lang="EN-US">38</span>天，体重<span lang="EN-US">5</span>公斤。在她<span lang="EN-US">32</span>天时因患急性喉炎发现了先天性心脏病，当时做了心脏彩超，发现有动脉导管未闭、房缺（</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">Ⅱ）、轻度肺动脉高压，具体情况如下：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">1</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">、心脏位置正常，心房正位，房室连接一致，心室与大血管连接一致。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">2</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">、房间隔二孔处可及一</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">3.4mm</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">的回声中断，室间隔连续未及中断。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">3</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">、左心室稍增大，右心及大血管内径尚正常。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">4</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">、房室瓣及半月瓣回声及启闭活动尚可。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">5</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">、左位主动弓，左肺动脉与降主动脉之间可及一内径</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">3.8mm</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">的异常通道。心包腔内未及暗区。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">PW</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">：</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">AA02.0&nbsp; DAO1.6&nbsp;&nbsp; MPA1.8&nbsp; MV1.0&nbsp; TV0.8&nbsp; PDA</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">收缩期</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">3.7m/s,</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">舒张期</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">1.2m/s</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">CDFL:ASD</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">处可及左－右过隔血流，</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">PDA</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">处可及异常血流通道，</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">AR</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">－，</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">PR</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">－，</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">MR+</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">少，</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;"> TR+</span><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">少。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">M</span><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">型及心功能：</font></span><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">LVDD25.5&nbsp; AO9.5&nbsp; EF79%</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></p><p><span lang="EN-US" style="FONT-SIZE: 10pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; LVDS13.8&nbsp; LA13.8&nbsp; FS45%</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></p><p><font face="宋体"><span style="FONT-SIZE: 10pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">当地医生推测，房缺可能是卵圆孔未闭，肺动脉高压可能和喉炎有关。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;"><font face="宋体">请问：</font></span><span lang="EN-US" style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">1</span><font face="宋体"><span style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">、我女儿自愈的可能性大吗？</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2</span><font face="宋体"><span style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">、多长时间复查一次？</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><span lang="EN-US" style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; FONT-FAMILY: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3</span><font face="宋体"><span style="FONT-SIZE: 13.5pt; COLOR: #ee3d11; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: Arial; mso-ascii-font-family: &quot;Times New Roman&quot;;">、如果需要治疗应选择手术还是介入？多大年龄做合适？</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p>

陆医生

半岁复查，自愈可能很大。

dyx9918

<p>谢谢陆医生.</p><p>&nbsp; 可今天我又去当地最权威的小儿先心医院咨询,医生告诉我,像我女儿这样动脉导管未闭(3.8mm)超过一个月时间,自愈的可能性很小了.我想再问问陆医生,这种3.8mm的动脉导管未闭超过一个月自愈的几率到底有多大,像我女儿这种情况如果没自愈,多大年龄为手术最佳时间?&nbsp; 再一次感谢您的帮助,祝您工作愉快!</p>

陆医生

我无法预测这种几率。抱歉。

dyx9918

陆医生：您好！ 我女儿喉炎好了以后嗓子一直嘶哑，去儿童医院看了耳鼻喉科的专家，医生说：喉咙已经没有炎症了，嗓子嘶哑和先心病有关。 请问陆医生：1、嗓子嘶哑是先心病引起的吗？出现这种情况是不是病情又严重了？等心脏病好了嗓子是不是就恢复了？ 2、女儿喝水、吃奶的时候经常呛着，是否也是心脏病的原因？

wincatcher

声音嘶哑，呛咳确实可能与心脏病有关，但心脏病治疗后是否恢复不能肯定。