紧急咨询房间隔缺损
小儿刚刚满60天(出生体重2.85KG,现在体重6公斤), 我们在前两天体检过程中发现他有房间隔缺损, 杭州儿保医院的检查结果如下:<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>M型测量(CM):</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>AO1.13 LA 1.25 LV2.30</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>二维检查:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>1. 剑下及心尖四腔切面见房间隔中部回声失落DIA0.45CM, 位继发孔,左房内见肺静脉汇入.</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>2. 室间隔完整, 未见未闭动脉导管</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>3. 各瓣膜回声及活动未见异常</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>4. 心脏大血管位置正常, 主动脉弓降部未见明显缩窄</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>脉冲多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面: SV置于房间隔缺损处见舒张期为主向上湍流频谱.</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>肺动脉峰值流速1.03M/S, 平均流速0.65M/S, VTI0.15M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>主动脉峰值流速1.21M/S, 平均流速0.86M/S, VTI0.19M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>心尖四腔切面: SV置于三尖瓣口右房侧见收缩期向下湍流频谱</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>彩色多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面见房间隔水平红色血流束从左房入右房</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>胸骨旁及心尖四腔切面三尖瓣水平见蓝色血流束从右室入右房</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>超声诊断:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>先天性心脏病</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>房间隔缺损(继发孔DIA0.45CM)</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>三尖瓣轻度返流</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>我们非常着急, 能否在百忙之中请您帮忙解答以下问题:</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>(1)小儿的这种状况严重吗?需要手术吗?</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>(2)</FONT><FONT face=Arial>有没有自己愈合的可能性?</FONT></DIV>
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