小儿先天性心脏病急急急！！！

cjshl · 发表于 2007-7-17 06:26:48

医生您好:我小孩2007年4月13日出生,现在3个月,性别:女,体重:6.7KG<table cellspacing="0" cellpadding="0" width="317" border="0" style="WIDTH: 238pt; BORDER-COLLAPSE: collapse;"><colgroup><col width="32" style="WIDTH: 24pt; mso-width-source: userset; mso-width-alt: 1024;"></col><col width="72" style="WIDTH: 54pt;"></col><col width="213" style="WIDTH: 160pt; mso-width-source: userset; mso-width-alt: 6816;"></col></colgroup><tbody><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl24" width="32" height="247" rowspan="9" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 24pt; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 185.25pt; BACKGROUND-COLOR: transparent;">Ｍ 型 二 维 测 量 及 心 功 能</td><td class="xl25" width="72" rowspan="3" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 54pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">主动脉</td><td class="xl24" width="213" rowspan="3" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 160pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">升主动脉径１０mm 弓绛部正常 </td></tr><tr height="19" style="HEIGHT: 14.25pt;"></tr><tr height="19" style="HEIGHT: 14.25pt;"></tr><tr height="38" style="HEIGHT: 28.5pt;"><td class="xl25" height="38" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 28.5pt; BACKGROUND-COLOR: transparent;">左房</td><td class="xl24" width="213" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; WIDTH: 160pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">前后径１３mm 房间隔延续中断５mm</td></tr><tr height="76" style="HEIGHT: 57pt;"><td class="xl25" height="76" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 57pt; BACKGROUND-COLOR: transparent;">左心室</td><td class="xl24" width="213" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; WIDTH: 160pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">室间隔延续正常 室间隔厚度４mm后壁４mm 舒张末期前后径１８mm 心包正常</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" colspan="2" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">右心室前后径１３mm右房横径１５mm</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" colspan="2" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">肺动脉主干１０mm</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="38" rowspan="2" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext 0.5pt solid; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 28.5pt; BACKGROUND-COLOR: transparent;">心功能</td><td class="xl24" width="213" rowspan="2" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 160pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">缩短率ＦＳ４０％ 射血分数ＥＦ７０％</td></tr><tr height="19" style="HEIGHT: 14.25pt;"></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" colspan="3" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">房水平左向右</td></tr></tbody></table><table cellspacing="0" cellpadding="0" width="489" border="0" style="WIDTH: 367pt; BORDER-COLLAPSE: collapse;"><colgroup><col span="5" width="72" style="WIDTH: 54pt;"></col><col width="129" style="WIDTH: 97pt; mso-width-source: userset; mso-width-alt: 4128;"></col></colgroup><tbody><tr height="19" style="HEIGHT: 14.25pt; mso-height-source: userset;"><td class="xl24" width="72" height="171" rowspan="9" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 54pt; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 128.25pt; BACKGROUND-COLOR: transparent;">多 普 勒 测 定</td><td class="xl25" width="72" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; WIDTH: 54pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">项目</td><td class="xl25" width="72" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; WIDTH: 54pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">时相</td><td class="xl25" width="72" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; WIDTH: 54pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">流速</td><td class="xl25" width="72" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; WIDTH: 54pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">压差</td><td class="xl25" width="129" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext 0.5pt solid; BORDER-LEFT: windowtext; WIDTH: 97pt; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">正常值</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="38" rowspan="2" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext 0.5pt solid; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 28.5pt; BACKGROUND-COLOR: transparent;">二尖瓣</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">收缩期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">舒张期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">1.2</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">6</td><td class="xl26" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">０．６－１．３</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="38" rowspan="2" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext 0.5pt solid; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 28.5pt; BACKGROUND-COLOR: transparent;">三尖瓣</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">收缩期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">舒张期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">1</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">4.1</td><td class="xl26" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">０．３－０．８</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="38" rowspan="2" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext 0.5pt solid; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 28.5pt; BACKGROUND-COLOR: transparent;">主动脉瓣</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">收缩期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">1.1</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">5</td><td class="xl26" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">１．０－１．８</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">舒张期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="38" rowspan="2" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext 0.5pt solid; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 28.5pt; BACKGROUND-COLOR: transparent;">肺动脉瓣</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">收缩期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">2.4</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">24</td><td class="xl26" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">０．５－１．０</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td class="xl25" height="19" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 14.25pt; BACKGROUND-COLOR: transparent;">舒张期</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td><td class="xl25" style="BORDER-RIGHT: windowtext 0.5pt solid; BORDER-TOP: windowtext; BORDER-LEFT: windowtext; BORDER-BOTTOM: windowtext 0.5pt solid; BACKGROUND-COLOR: transparent;">　</td></tr></tbody></table>1、主肺动脉不宽，肺动脉频率冗长，增厚，回声增强，开放稍受限，闭合后，开放间距0.5CM；肺动脉未见增宽；主动脉频率形态活动右。2、右房、右室稍大，左房、左室不大。3、二尖、三尖频率形态活动右。4、室间隔不厚，在左室后壁呈逆向活动。5、房间隔中段见5MM连续中断，室间隔未见中断。医生诊断为：先天性心脏病1、房间隔缺损（继发孔型）2、肺动脉频率轻微狭窄．可否自愈？如果采取治疗请问什么时候治是最佳时间？采用什么治疗手段？费用多少？另外还想请问一下现在对孩子的喂养和护理有什么值得注意的地方和方法？

陆医生 · 发表于 2007-7-17 15:25:24

一岁复查，不排除自愈可能。

cjshl · 发表于 2007-7-18 05:44:00

您好！请问我女儿能吃药治疗吗？

wincatcher · 发表于 2007-7-19 05:36:32

没有药物治疗。

cjshl · 发表于 2007-7-19 21:59:24

请问？可以给我女儿游泳吗？

cjshl · 发表于 2007-7-21 06:19:59

你好？请问我女儿可以游泳吗？可以打预防针吗？

wincatcher · 发表于 2007-7-21 07:15:43

不要游泳。但可以预防接种

cjshl · 发表于 2007-7-22 05:29:58

您好！请问我女儿的病严重吗？自愈的可能大吗？治疗的最佳时期是多久？采取何种方式最佳？请在忙中回复谢谢！！！！！！

leonidas · 发表于 2007-7-22 20:02:41

常见先心病，有自愈的可能定期复查，如果没有自愈，治疗可选择介入封堵，手术可选择在2-3岁左右

cjshl · 发表于 2007-7-22 21:27:33

您好!请问介入封堵的费用是多少,对今后是否有影响?所谓定期复查时间是指多久?盼回复,感谢!!

leonidas · 发表于 2007-7-22 22:22:33

介入2万左右，顺利可跟正常小孩一样1岁时复查，情况好今后可在半年复查1次

cjshl · 发表于 2007-7-24 05:44:37

您好!请问介入封堵的费用是多少,对今后是否有影响?所谓定期复查时间是指多久?盼回复,感谢!!

陆医生 · 发表于 2007-7-24 06:06:44

晕倒，12楼没有看清楚么/

cjshl · 发表于 2007-7-25 06:59:20

请问?像我女儿这种病，复查的期限的长好呢，还是遵医附嘱复查呢？做多了彩超对幼儿的害处大吗?手术后后遗症大吗?术后生活影响大吗?请贵医生忙中阅后，回复为谢！！！！

leonidas · 发表于 2007-7-25 07:55:49

遵医嘱复查好了，彩超对孩子没有影响说过了，顺利可跟正常小孩一样

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