[原创]室间隔缺损手术后九个月复查，眼皮浮肿

LH20060511

<p><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">我的宝宝，年龄</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">岁</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">个月，男，</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">23</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">斤，室间隔缺损手术后九个月复查</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">,</span><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">心脏超声报告单为：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p style="MARGIN-LEFT: 21pt; TEXT-INDENT: -21pt; mso-char-indent-count: -2.0; mso-char-indent-size: 10.5pt;"><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">LV<span style="mso-spacerun: yes;">&nbsp; </span>31.2MM,<span style="mso-spacerun: yes;">&nbsp; </span>LA<span style="mso-spacerun: yes;">&nbsp; </span>24.2MM,<span style="mso-spacerun: yes;">&nbsp; </span>RV<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>11.2MM,<span style="mso-spacerun: yes;">&nbsp; </span>RA<span style="mso-spacerun: yes;">&nbsp; </span>21.2 MM,<span style="mso-spacerun: yes;">&nbsp; </span>AO<span style="mso-spacerun: yes;">&nbsp; </span>17MM,PA 16.2MM,<span style="mso-spacerun: yes;">&nbsp; </span>IVS<span style="mso-spacerun: yes;">&nbsp; </span>5.5MM,<span style="mso-spacerun: yes;">&nbsp; </span>LVPW<span style="mso-spacerun: yes;">&nbsp; </span>6.1MM<p></p></span></p><p><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">心脏各房室腔内径正常大小可</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">.</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">房室间隔连续性完整，于室间隔上部原隔缺处见补片样强回声，位置固定，连接紧密，运动谐调，心肌厚度回声及运动可，肺动脉略宽，各组瓣膜回声反射正常，启闭可，冠状静脉窦增宽</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">18.5*16MM</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">，</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">CDFI:</span><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">室间隔补片周围未见异常分流信号，三尖瓣见少量反流信号</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">WMAX3m/s,PG36mmhg<p></p></span></p><p><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;"><font face="宋体">结论：室间隔缺损修补手术后，冠状静脉窦增宽，三尖瓣反流</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1</span><font face="宋体"><span style="FONT-SIZE: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">轻度</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;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">这是在山东省立医院做的手术，术前</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.5pt;">室间隔缺</span><span lang="EN-US" style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt;">1.2CM,</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.5pt;">有肺动脉高压</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">9</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个月复查结果，省立医院的大夫说：现在正常了</span></font></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 size="3"><strong>我想请问专家：孩子的心脏现在的情况，是否属于正常？您看恢复的怎么样？自从术后孩子情况还不错没有发生什末异常，只是现在孩子有一个月了每天早上起床上下眼皮都浮肿，但其它情绪，吃喝拉撒都正常，小便也化验过三次都正常，不知道是不是与孩子的心脏有关，请专家给出意见和建议</strong></font></span></p>

陆医生

我看恢复的可以啊，正常的小孩可能也会有这种情况的，再观察一段时间吧。

LH20060511

<p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">感谢您及时的答复，我还有一直有个困扰，在本网站疾病知识里有这样一篇文章：《聚焦先天性心脏病六大问题》其中</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;;">焦点五：治疗是否存在很大风险？</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><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;;">答：风险是由疾病的轻重程度决定的。<u>比如说，在某些大的医院，医治心脏房间隔缺损的孩子</u></span><u><span lang="EN-US"><font face="Times New Roman">100</font></span></u><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">％都没有重大的并发症。然而，对于那些为了医治单一心室缺损而接受外科手术的孩子来说，只有</span><span lang="EN-US"><font face="Times New Roman">85</font></span></u><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">％的孩子能够在他们的童年时期存活下来，但谁都不知道他们是否能够一直长大，活到成年。</span></u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">有些孩子还可能需要附加的手术或者插入导管，可能运动范围也要受到限制。总之，心脏病有不同的种类，有些容易引起其他并发症，所以风险也就自然会更大一些。但是，如果在比较大的医院进行治疗，风险就会相对减少。因为在大医院医生每年都要做</span><span lang="EN-US"><font face="Times New Roman">700</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;;">个以上的外科手术，所以他们更有把握，而在小医院里外科手术还不足</span><span lang="EN-US"><font face="Times New Roman">100</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;;">个。由此可见，选择好的大医院也可以降低风险。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><strong><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">我的孩子在山东省立医院做的手术，手术前医生说：现在有先进的彩超不用做导管检查，所以没做导管检查术，手术后只服用过速尿没服用过其他药物，这两点和贵院不太一样是吗？不知对孩子有没有影响？</span></strong></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><strong><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">我不知道术后会有哪些并发症？我的孩子不会有事吧？</span></strong><span lang="EN-US" style="FONT-FAMILY: 宋体;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><strong><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">麻烦您了</span></strong><span lang="EN-US" style="FONT-FAMILY: 宋体;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">&nbsp;<p></p></font></span></p>

wincatcher

<p>您过于紧张了，您孩子的病在先心病里属于非常轻的。手术也很及时，术后情况也很好，所以今后对他的影响甚微，就是个正常的孩子。</p>