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求助:室间隔缺损

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发表于 2007-7-13 02:22:37 | 显示全部楼层 |阅读模式
<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">我儿现</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">5</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">个半月</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">体重</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">15</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</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">身高</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">71</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">厘米</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">前几天体检</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">查出心脏有杂音</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">做了心脏声像</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">以下是超声诊断报告单</font></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: 10.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;">超声描述:心脏超声描述:</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </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;">心脏各房室形态正常。</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</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">房间隔未见明显连续性中断,室间隔上部连续性中断约</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">0.4CM</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;">,室壁运动正常,室间隔、左室后壁厚度正常,两者呈异向运动。</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp;&nbsp; </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;">二、三尖瓣回声纤细,启闭正常。</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp;&nbsp; </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;">主动脉内径正常,肺动脉内径轻度增宽。</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp; 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">显示室间隔上部连续性中断处收缩期可见左向右分流血流信号及分流频谱,</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">Vmax3.4m/s</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">。大动脉水平未见明显异常血流信号</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">主动脉瓣上收缩期</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">Vmax1.4m/s</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">,肺动脉瓣上收缩期</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">Vmax1.2m/s</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">。二尖瓣血流呈单峰,较大的流速约</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">1.5m/s</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;">。</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp; </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">左室收缩功能正常,</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">EF78.3%</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;">FS45.5%</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;">。左室舒张功能正常。</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: 10.5pt; FONT-FAMILY: Arial;">&nbsp;&nbsp;&nbsp; </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;">心包膜不增厚,心包无分离。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></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">心脏超声测量:</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;">LA1.5cm,&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; AO1.2cm,&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; LV2.5cm,&nbsp;&nbsp; MPA1.7cm,&nbsp;&nbsp; RV1.1cm,&nbsp; RA2.1x1.9cm,IVS0.4cm,&nbsp; LVPW0.5CM.<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">超声提示</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">心脏彩超超声像</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;">考虑室间隔缺损。左房稍大,肺动脉轻度增宽,肺动脉及二尖瓣流速稍快。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></p><p><font size="3"><span lang="EN-US" style="COLOR: black; FONT-FAMILY: Tahoma;">&nbsp;&nbsp;&nbsp; </span><span style="COLOR: black; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;"><font face="宋体">现在身体很好,</font></span><span style="COLOR: black; FONT-FAMILY: Tahoma;">9 Y1 N  @! }: J9 J# J2 n
                        </span><font face="宋体"><span style="COLOR: black; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma; mso-bidi-font-family: Tahoma;">这种病严重吗?医生请问是现在手术好还是大点在做介入,谢谢!</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: Arial;"><p></p></span></font></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p><font face="Times New Roman">&nbsp;</font></p></span></p>
发表于 2007-7-18 21:37:00 | 显示全部楼层
现在不需要处理,随访到5岁以后,有可能自愈的。
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