[求助]法鲁氏四联症
<P><FONT size=3>我女儿出生十天了,做彩超检查出有先天性心脏病,结果如下:</FONT></P><P><FONT size=3>检查所见</FONT></P>
<P><FONT size=3>主动脉根<FONT face="Times New Roman"> </FONT>部内径<FONT face="Times New Roman">:12mm </FONT>左房内径<FONT face="Times New Roman">:12mm </FONT>右室内径<FONT face="Times New Roman">:10mm</FONT></FONT></P>
<P><FONT size=3>右室前壁厚度<FONT face="Times New Roman">:3.6mm </FONT>室间隔厚度<FONT face="Times New Roman">:3mm</FONT>左室舒张期末内径<FONT face="Times New Roman">:13mm</FONT></FONT></P>
<P><FONT size=3>左室后壁厚度<FONT face="Times New Roman">:3mm</FONT></FONT></P>
<P><FONT size=3>右房右室增大<FONT face="Times New Roman">,</FONT>右室前壁略增厚<FONT face="Times New Roman">.</FONT>室间隔上段连续中断<FONT face="Times New Roman">,</FONT>宽约<FONT face="Times New Roman">9mm,</FONT>可探及双向分流信号<FONT face="Times New Roman">,</FONT>以右向左为主<FONT face="Times New Roman">.</FONT>主动脉增宽<FONT face="Times New Roman">,</FONT>骑跨于室间隔之上<FONT face="Times New Roman">,</FONT>骑跨率约<FONT face="Times New Roman">40%.</FONT>肺动脉狭窄<FONT face="Times New Roman">,</FONT>瓣上宽约<FONT face="Times New Roman">4.6mm,</FONT>肺动脉回声略增强<FONT face="Times New Roman">,</FONT>肺动脉瓣开放受限<FONT face="Times New Roman">,CW</FONT>测肺动脉前向血流速度<FONT face="Times New Roman">:V=3.8m/s,PG=59mmHg.</FONT>房间隔卵圆孔处可见左向右穿隔血流束<FONT face="Times New Roman">,</FONT>测束宽约<FONT face="Times New Roman">4mm.</FONT>主动脉瓣见少量反流信号<FONT face="Times New Roman">,</FONT>二尖瓣见少量反流信号<FONT face="Times New Roman">,</FONT>三尖瓣见轻度反流信号<FONT face="Times New Roman">,PW</FONT>测三尖瓣反流速度<FONT face="Times New Roman">:V=2.4m/s,PG=24mmHg.</FONT>动脉导管处探及连续血流频谱<FONT face="Times New Roman">,</FONT>因肺动脉血流紊乱导管血流显示欠清<FONT face="Times New Roman">(</FONT>必要时复查<FONT face="Times New Roman">).</FONT></FONT></P>
<P><FONT size=3>检查结果</FONT></P>
<P><FONT size=3>先天性心脏病</FONT></P>
<P><FONT size=3><FONT face="Times New Roman">1. </FONT>法鲁氏四联症</FONT></P>
<P><FONT size=3><FONT face="Times New Roman">2. </FONT>卵圆孔未闭</FONT></P>
<P><FONT size=3></FONT></P>
<P><FONT size=3>请问:1.看检查内容所示,病情严重吗?</FONT></P>
<P><FONT size=3> 2.手术能一次性根治吗?成功率有多高?</FONT></P>
<P><FONT size=3> 3.手术的最佳年龄是多少?</FONT></P>
<P><FONT size=3> 4.全部费用多少?</FONT></P>
<P><FONT size=3> </FONT></P>
<P><FONT size=3></FONT></P>
你好！所作检查未有肺血管发育情况，较难回答。如条件好，可一次根治，成功率大于95%. 最佳年龄3个月－1岁。费用4万左右。请到专科医院进一步检查。 我的孩子能打疫苗吗?有很多人告诉我说不能打. 您好：
应该暂时停止。 <P>是全部疫苗都要停止注射吗?有可以打的吗?不打万一得病怎么办啊?</P><P>还有,如果正常的疫苗都打了,会有什么反应吗?</P> 您好：
还是请您到防疫站问问清楚，看有没有相关条例，如何处理等等。详细方面我们可能也不是很清楚。 <P ><FONT size=3>这是宝宝四个月时<FONT face="Times New Roman">(</FONT><st1:chsdate w:st="on" IsROCDate="False" IsLunarDate="False" Day="2" Month="6" Year="2005"><FONT face="Times New Roman">6</FONT>月<FONT face="Times New Roman">2</FONT>日</st1:chsdate><FONT face="Times New Roman">)</FONT>的检查结果<p></p></FONT></P>
<P ><FONT size=3> <p></p></FONT></P>
<P ><FONT size=3>超声所见<FONT face="Times New Roman">:<p></p></FONT></FONT></P>
<P ><FONT size=3>右心室前壁厚度<FONT face="Times New Roman">:<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".7" UnitName="cm">0.7CM</st1:chmetcnv>,</FONT>右心室内径<FONT face="Times New Roman">:<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".9" UnitName="cm">0.9CM</st1:chmetcnv>,</FONT>右室流出道内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".6" UnitName="cm">0.6CM</st1:chmetcnv>,</FONT>室间隔厚度<FONT face="Times New Roman">:<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".5" UnitName="cm">0.5CM</st1:chmetcnv>,</FONT>左心室内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.4" UnitName="cm">1.4CM</st1:chmetcnv>,</FONT>主动脉根部内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.4" UnitName="cm">1.4CM</st1:chmetcnv>,</FONT>肺动脉主干内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".7" UnitName="cm">0.7CM</st1:chmetcnv>,</FONT>右肺动脉内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".5" UnitName="cm">0.5CM</st1:chmetcnv>,</FONT>左肺动脉内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".6" UnitName="cm">0.6CM</st1:chmetcnv>,</FONT>左心房内径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".9" UnitName="cm">0.9CM</st1:chmetcnv>,</FONT>右心房长径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.3" UnitName="cm">2.3CM</st1:chmetcnv>,</FONT>右心房横径<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.4" UnitName="cm">2.4CM</st1:chmetcnv><p></p></FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">2D:</FONT>主动脉增宽<FONT face="Times New Roman">,</FONT>前移<FONT face="Times New Roman">,</FONT>其前壁与室间隔连续中断约<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1" UnitName="cm">1.0CM</st1:chmetcnv>,</FONT>可见主动脉骑跨症<FONT face="Times New Roman">,</FONT>骑跨率<FONT face="Times New Roman">50%,</FONT>右室无扩大<FONT face="Times New Roman">,</FONT>右室前壁增厚<FONT face="Times New Roman">,</FONT>肺动脉漏斗部狭窄<FONT face="Times New Roman">,</FONT>肺动脉瓣增厚<FONT face="Times New Roman">,</FONT>肺动脉瓣环口狭窄约<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue=".4" UnitName="cm">0.4CM</st1:chmetcnv>,</FONT>肺动脉瓣开放受限<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">CDFI:</FONT>室间隔缺损处见双期双向分流束<FONT face="Times New Roman">.</FONT>最大分流压差约<FONT face="Times New Roman">+4mmHg,-6.2mmHg;</FONT>峰速<FONT face="Times New Roman">+<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="1.2" UnitName="m">1.2m</st1:chmetcnv>/s,<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="True" HasSpace="False" SourceValue="1" UnitName="m">-1.0m</st1:chmetcnv>/s.</FONT>于收缩期左右心室蓝色血流同时进入主动脉<FONT face="Times New Roman">;</FONT>于收缩期右室流出道及肺动脉内均可见起自狭窄处的五彩镶嵌血流束<FONT face="Times New Roman">,CW</FONT>测量肺动脉内最大跨瓣压差约<FONT face="Times New Roman">83mmHg,</FONT>峰速<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="4.6" UnitName="m">4.6m</st1:chmetcnv>/s.<p></p></FONT></FONT></P>
<P ><FONT size=3>超声提示<FONT face="Times New Roman">:</FONT>先天性心脏病<FONT face="Times New Roman">,</FONT>法洛氏四联症<p></p></FONT></P>
<P ><FONT size=3>请问<FONT face="Times New Roman">:</FONT>与前期想比较<FONT face="Times New Roman">,</FONT>是否有好转<FONT face="Times New Roman">?</FONT></FONT><p></p></P> <P>斑竹来了为什么不看我的帖子?????????????</P>
<P>我的心情同样很着急!!!!!!!!!!!!!!!!!!!!!</P> <P>您好：<BR> 这种疾病不可能自动好转的；根据超声来看，并无大的变化。</P> 你好，我女儿也是法4，现在2月。你们准备手术吗？我们准备在她半岁时手术。我的qq362473223，我们可以常联络，常交流，一切为了宝宝嘛。让我们一起为宝宝们加油！ <P>我7月5日在贵院做的彩超,得出的结论是:四联症.右位主动脉弓.侧枝血管形成</P>
<P>请教管理员:右位主动脉弓.侧枝血管形成是什么意思?严重吗?</P> 您好：<BR> 右位主动脉弓没有什么；<BR> 侧支循环是因为肺动脉狭窄引起的代偿反应，所以建议还是尽快手术治疗，否则越拖越麻烦。 <P>我已经办理住院登记了，要等到8月2日才能办住院手续后要做导管，然后再等1至2个月才能做心脏手术，这样等下去会不会病情严重了呀？？？</P> 斑竹今天休息吗?? <TABLE fixed; WORD-BREAK: break-all" height="85%" width="95%" align=center border=0>
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<P>斑竹你好</P>
<P>我儿子刚满两个月体重5kg,生下来就有嘴唇 手指发青的现象，经检查是四联症，我想问一下什么时候做手术比较合适？手术的成功率有多大？治疗的总费用需要多少钱？门诊可不可以预约？现在疫苗可以打吗？急待回复。谢谢！！</P></TD></TR>
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