[求助]

xmfang005

<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;;">医生：</span></p><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;;">您好！我女儿</span><chsdate wst="on" isrocdate="False" islunardate="False" day="15" month="6" year="2007"><span lang="EN-US"><font face="Times New Roman">2007</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;;">年</span><span lang="EN-US"><font face="Times New Roman">6</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;;">月</span><span lang="EN-US"><font face="Times New Roman">15</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;;">日</span></chsdate><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">出生，为足月出生，出生时体重</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.2" unitname="公斤"><span lang="EN-US"><font face="Times New Roman">3.2</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;;">公斤</span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，身高</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0.5" unitname="米"><span lang="EN-US"><font face="Times New Roman">0.5</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;;">米</span></chmetcnv><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;;">出生</span><span lang="EN-US"><font face="Times New Roman">31</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;;">天体重</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="公斤"><span lang="EN-US"><font face="Times New Roman">4</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;;">公斤</span></chmetcnv><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;;">身高</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="0.54" unitname="米"><span lang="EN-US"><font face="Times New Roman">0.54</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;;">米</span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">。出生</span><span lang="EN-US"><font face="Times New Roman">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;;">天查出先天性心脏病，彩超报告如下：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><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;;">超声描述：</span><span lang="EN-US"><font face="Times New Roman">RVOT<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="11" unitname="mm">11mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>AO<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7.1" unitname="mm">7.1mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>LA<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="12" unitname="mm">12mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>RV<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7.4" unitname="mm">7.4mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>AAO<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7.4" unitname="mm">7.4mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>IVS<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.2" unitname="mm">3.2mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LVD<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="16" unitname="mm">16mm</chmetcnv>
                                <span style="mso-spacerun: yes;">&nbsp;</span>LVS<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="9" unitname="mm">9.0mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp; </span>LVPWD<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="2.8" unitname="mm">2.8mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp; </span>MPA<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="9.9" unitname="mm">9.9mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp; </span>LPA<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4.5" unitname="mm">4.5mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp; </span>RPA<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.9" unitname="mm">3.9mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EF77%<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>FS42%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>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;;">、左房稍扩大；肌部室间隔回声连续性中断，其缺损左室面直径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.3" unitname="mm"><span lang="EN-US"><font face="Times New Roman">3.3mm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，右室面直径</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.7" unitname="mm"><span lang="EN-US">3.7mm</span></chmetcnv><span lang="EN-US">;</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;;">继发孔房间隔中央回声连续性中断，缺损直径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4.5" unitname="mm"><span lang="EN-US"><font face="Times New Roman">4.5mm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">；室间隔与左室后壁逆向运动，左室壁运动未见异常；各瓣膜解剖形态正常，瓣膜回声纤细柔软，开放幅度及关闭活动未见异常；大动脉位置关系正常，升主动脉、主动脉弓及降主动脉形态结构正常；主肺动脉及远端左、右肺动脉正常；左肺动脉根部与降主动脉之间未见明显异常通道回声。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>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;;">、彩色多普勒显示：于肌部室间隔缺损处可见中等量红色为主五彩镶嵌的左向右分流血流信号；于继发孔房间隔中央可见少至中等量红色为主左向右分流血流信号；余各瓣口及大动脉水平未见异常血流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>3</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;;">、频谱多谱勒显示：于肌部室间隔缺损口右室取样可见收缩期正向湍流频谱，最大分流速度</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.22" unitname="m"><span lang="EN-US">3.22m</span></chmetcnv><span lang="EN-US">/s,</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;;">跨隔压差</span><span lang="EN-US"><font face="Times New Roman">41mmHg</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></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><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;;">超声意见：先天性心脏病：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>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;;">、肌部室间隔缺损（心室水平中等量左向右分流）。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>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;;">、继发孔中央型房间隔缺损（心房水平少至中等量左向右分流）。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>3</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;;">、左室整体收缩功能正常。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><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;;">请问医生：</span></p><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;;">我女儿的病严重吗？可以做介入手术吗？请介绍一下开胸手术和介入手术两者各自的利弊好吗？谢谢！</span></p>

毛毛520

4.5MM好象有自愈的可能

xmfang003

<p>但是有两个缺损啊</p>

毛毛520

<p>LZ不要太担心</p>

wincatcher

孩子还小，缺损也不大，2岁随访超声即可。目前无需手术治疗。肌部室缺手术比较困难，介入可能把握更大。

xmfang005

<p>谢谢!我想再问一下,</p><p>自愈的可能性大吗?肌部缺损介入的成功率有多大?谢谢!</p>

陆医生

<p>能否自愈要看随访超声的结果啊。</p>

xmfang006

<p>谢谢医生和网友,</p><p>我想再问一下,肌部缺损介入的成功率有多大?为什么肌部室缺手术比较困难?谢谢!</p>

xmfang003

<p>请问，我女儿这种情况能正常打预防针吗？</p>

leonidas

<p>可以</p><p></p>

xmfang003

<p>医生,您好!</p><p>前面超声描述中说:"室间隔与左室后壁逆向运动",请问这种情况属于多严重的问题?需要治疗吗?</p>

leonidas

由于心脏缺损引起，属疾病正常表现

xmfang005

<p>医生,您好!</p><p>超声描述中说:"左房稍扩大",请问这个是室缺、房缺引起的吗？需要治疗吗？</p><p>谢谢！</p>

leonidas

<p>是的，不用治疗</p><p></p>

xmfang005

医生您好!
看到论坛里的内容,知道六个月要复查一下超声,现在宝宝已经两个月了,这两个月来是在提心吊胆的日子中熬过来的.宝宝的一个喷嚏都让我很是紧张.现在我想问以下医生,象我宝宝这样室缺3毫米多,房缺4毫米多这种情况,该如何防止肺动脉高压.一般情况下,肺动脉高压的外在表现如何?