心脏检查结果，盼复

jslygsunyo 发表于 2005-8-30 04:45:22

尊敬的专家：
1月大的男孩，心脏检查报告为：
升主动内径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="10" UnitName="mm">10mm</st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="8" UnitName="mm">8mm</st1:chmetcnv>；窦部前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="12" UnitName="mm">12mm</st1:chmetcnv>；右室流出道<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="15" UnitName="mm">15mm</st1:chmetcnv>；左房前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="20" UnitName="mm">20mm</st1:chmetcnv>；室间隔厚度<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="4" UnitName="mm">4mm</st1:chmetcnv>；室间隔振幅<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="6" UnitName="mm">6mm</st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="27" UnitName="mm">27mm</st1:chmetcnv>；左室后壁厚度<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="4" UnitName="mm">4mm</st1:chmetcnv>；左室后壁振幅<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="7" UnitName="mm">7mm</st1:chmetcnv>；右室前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="12" UnitName="mm">12mm</st1:chmetcnv>；主动脉内径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="13" UnitName="mm">13mm</st1:chmetcnv>；MV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="93" UnitName="cm">93cm</st1:chmetcnv>/s；TV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="64" UnitName="cm">64 cm</st1:chmetcnv>/s；AV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="123" UnitName="cm">123 cm</st1:chmetcnv>/s；PV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="123" UnitName="cm">123 cm</st1:chmetcnv>/s；LVEF60%；PASP25mmHg
检查意见
左房室轻大，余房室内径正常范。房间隔中部探及回声脱失约<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="5" UnitName="mm">5mm</st1:chmetcnv>，室间隔膜周部探及回声脱失约4—<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="5" UnitName="mm">5mm</st1:chmetcnv>，室缺右室面探及纤维组织。室壁不厚，运动协调。各瓣膜形态、结构未见异常。主动脉、肺动脉内径正常。
多普勒检查：房、室水平左向右分流，速度分别为V=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="186" UnitName="cm">186 cm</st1:chmetcnv>/s，PG=14mmHg（房水平）；V=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="333" UnitName="cm">333 cm</st1:chmetcnv>/s，PG=41mmHg（房水平）。二尖瓣少量返流，三尖瓣轻微反流。
检查所见：
先天性心脏病：室间隔缺损（膜周部）；室水平左向右分流；房间隔缺损（Ⅱ孔型）；房水平左向右分流；二尖瓣少量返流。
请问专家：情况怎样？何时做手术为佳？费用多少？

全康复 发表于 2005-8-31 03:32:30

病情不是很严重，建议3至6个月复查，有自愈可能。如果要手术，手术费用3万左右。

陆医生 发表于 2005-8-31 21:59:53

您好： 同意二楼意见。

jslygsunyo 发表于 2005-10-1 04:31:05

请问：
1、出生时体重<st1:chmetcnv UnitName="kg" SourceValue="3.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">3.4Kg</st1:chmetcnv>；一个月时体重<st1:chmetcnv UnitName="kg" SourceValue="4.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4.4Kg</st1:chmetcnv>；2个月时，体重为<st1:chmetcnv UnitName="kg" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5Kg</st1:chmetcnv>，发育是否缓慢？
2、孩子睡觉时易醒，连续时间不超过1个小时，是否与先心病有关？
谢谢

jslygsunyo 发表于 2005-10-1 06:02:29

请问：
1、出生时体重<st1:chmetcnv UnitName="kg" SourceValue="3.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">3.4Kg</st1:chmetcnv>；一个月时体重<st1:chmetcnv UnitName="kg" SourceValue="4.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4.4Kg</st1:chmetcnv>；2个月时，体重为<st1:chmetcnv UnitName="kg" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5Kg</st1:chmetcnv>，发育是否缓慢？
2、孩子晚上睡觉时易醒，连续时间不超过1个小时；白天睡觉时间亦较短，经常哭闹，是否与先心病有关？
谢谢

陆医生 发表于 2005-10-3 03:43:50

您好： 建议到儿童保健科咨询。

jslygsunyo 发表于 2005-11-26 02:35:44

<st1:chsdate w:st="on" IsROCDate="False" IsLunarDate="False" Day="25" Month="11" Year="2005">2005年11月25日</st1:chsdate>，4个月检查，体重7.6Kg：
升主动内径<st1:chmetcnv UnitName="mm" SourceValue="14" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">14mm</st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv UnitName="mm" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11mm</st1:chmetcnv>；窦部前后径<st1:chmetcnv UnitName="mm" SourceValue="14" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">14mm</st1:chmetcnv>；右室流出道<st1:chmetcnv UnitName="mm" SourceValue="18" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">18mm</st1:chmetcnv>；左房前后径<st1:chmetcnv UnitName="mm" SourceValue="24" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">24mm</st1:chmetcnv>；室间隔厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；室间隔振幅<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv UnitName="mm" SourceValue="32" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">32mm</st1:chmetcnv>；左室后壁厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；左室后壁振幅<st1:chmetcnv UnitName="mm" SourceValue="8" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">8mm</st1:chmetcnv>；右室前后径<st1:chmetcnv UnitName="mm" SourceValue="12" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">12mm</st1:chmetcnv>；主动脉内径<st1:chmetcnv UnitName="mm" SourceValue="14" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">14mm</st1:chmetcnv>；MV<st1:chmetcnv UnitName="cm" SourceValue="112" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">112cm</st1:chmetcnv>/s；TV<st1:chmetcnv UnitName="cm" SourceValue="68" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">68cm</st1:chmetcnv>/s；AV<st1:chmetcnv UnitName="cm" SourceValue="152" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">152 cm</st1:chmetcnv>/s；PV<st1:chmetcnv UnitName="cm" SourceValue="110" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">110cm</st1:chmetcnv>/s；LVEF62%；PASP29mmHg
检查意见；
左室内径轻度增大，左室流出道偏宽，室间隔与左室后壁不厚，运动增强。室间隔膜部回声中断约4—<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>。室缺右壁面可见纤维模样回声，房间隔卵孔处可见回声脱失约3—<st1:chmetcnv UnitName="mm" SourceValue="4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4mm</st1:chmetcnv>，各瓣膜形态结构及启闭运动正常。大动脉发育正常，主动脉弓降部未见异常。
多普勒检查：收缩期室水平探及左向右高速分流信号V=<st1:chmetcnv UnitName="cm" SourceValue="527" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">527 cm</st1:chmetcnv>/s，PG=111mmHg。房水平可探及左向右分流V=<st1:chmetcnv UnitName="cm" SourceValue="171" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">171cm</st1:chmetcnv>/s，PG=11mmHg，（CDFI：房水平可探及两束分流信号）。二尖瓣少量返流，三尖瓣轻微反流。
检查所见：
先天性心脏病；室间隔缺损（膜部）；室水平左向右分流；房间隔缺损（卵圆孔未闭或小房缺多发不除外）；房水平左向右分流；二尖瓣少量返流。
请问：
1、和上次检查相比，有何变化？
2、这种情况适合介入还是手术？
3、去贵院就诊，应挂内科还是外科；；针对这种病情，哪一位专家较擅长？
谢谢

陆医生 发表于 2005-11-27 22:41:19

您好： 个人觉得没有什么变化； 建议看心脏外科徐志伟教授门诊。

jslygsunyo 发表于 2006-4-8 00:41:36

8个半，男孩，<st1:chmetcnv UnitName="kg" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11Kg</st1:chmetcnv>，<st1:chsdate w:st="on" Year="2006" Month="4" Day="7" IsLunarDate="False" IsROCDate="False">06年4月7日</st1:chsdate>检查结果如下：
升主动脉径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv UnitName="mm" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11mm</st1:chmetcnv>；窦部前后径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；右室流出道<st1:chmetcnv UnitName="mm" SourceValue="19" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">19mm</st1:chmetcnv>；左房前后径<st1:chmetcnv UnitName="mm" SourceValue="27" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">27mm</st1:chmetcnv>；室间隔厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；室间隔振幅<st1:chmetcnv UnitName="mm" SourceValue="7" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">7mm</st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv UnitName="mm" SourceValue="37" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">37mm</st1:chmetcnv>；左室后壁厚度<st1:chmetcnv UnitName="mm" SourceValue="4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4mm</st1:chmetcnv>；左室后壁振幅<st1:chmetcnv UnitName="mm" SourceValue="9" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">9mm</st1:chmetcnv>；右室前后径<st1:chmetcnv UnitName="mm" SourceValue="13" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">13mm</st1:chmetcnv>；主肺动脉内径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；MV<st1:chmetcnv UnitName="cm" SourceValue="94" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">94cm</st1:chmetcnv>/s；TV<st1:chmetcnv UnitName="cm" SourceValue="80" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">80cm</st1:chmetcnv>/s；AV<st1:chmetcnv UnitName="cm" SourceValue="135" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">135cm</st1:chmetcnv>/s；PV<st1:chmetcnv UnitName="cm" SourceValue="112" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">112 cm</st1:chmetcnv>/s；LVEF60%；PASP27mmHg
检查所见：
左室内径轻度增大，左室流出道偏宽，室间隔和左室后壁不厚，运动增强。室间隔膜部回声中断约4—<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>。室缺右室面可见纤维膜样回声膨出，房间隔卵孔处可见回声分离。各瓣膜形态结构及启闭运动正常。主动脉、肺动脉内径正常。
多普勒检查：收缩期室水平探及左向右高速分流信号V=<st1:chmetcnv UnitName="cm" SourceValue="512" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">512 cm</st1:chmetcnv>/s，PG=105 mmHg。房水平卵孔处可探及左向右分流。二尖瓣微量反流，三尖瓣少量反流。
检查意见：
先天心脏病
室间隔缺损（膜部）
室水平左向右分流
卵圆孔未闭
房水平左向右分流
三尖瓣少量反流
 
请问：病情怎样？是继续观察还是需要到贵院确诊？谢谢！

陆医生 发表于 2006-4-9 04:15:11

您好； 房缺基本上关闭了，室缺没有什么变化，还可以再观察一段。

jslygsunyo 发表于 2007-1-24 23:50:10

<chsdate wst="on" year="2006" month="7" day="18" islunardate="False" isrocdate="False">2006年7月18日</chsdate>，在贵院检查结果如下：1、放射诊断意见：心影大，肺血多2、心电提示：左室高电压，Vs深S3、彩超报告：VSD（PWZ）0.6，假性**瘤形成，引流口0.33，L→R，<chmetcnv unitname="m" sourcevalue="3.8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">3.8m</chmetcnv>/s，引流弥散，WG→下，左心室*大注：红色字体为估计文字。<personname wst="on" productid="徐志伟">徐志伟</personname>教授安排半年后复查。

陆医生 发表于 2007-1-25 06:19:01

你的问题是什么？

jslygsunyo 发表于 2007-1-25 16:57:55

<chsdate wst="on" year="2007" month="1" day="23" islunardate="False" isrocdate="False">抱歉，本想发2个贴，便于观察。</chsdate><chsdate wst="on" year="2007" month="1" day="23" islunardate="False" isrocdate="False">2007年1月23日</chsdate>检查，男孩，<chmetcnv unitname="kg" sourcevalue="13.5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">13.5Kg</chmetcnv>，升主动内径<chmetcnv unitname="mm" sourcevalue="17" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">17mm</chmetcnv>；主动脉瓣环内径<chmetcnv unitname="mm" sourcevalue="11" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">11mm</chmetcnv>；窦部前后径<chmetcnv unitname="mm" sourcevalue="18" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">18mm</chmetcnv>；右室流出道<chmetcnv unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">23mm</chmetcnv>；左房前后径<chmetcnv unitname="mm" sourcevalue="28" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">28mm</chmetcnv>；室间隔厚度<chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">6mm</chmetcnv>；室间隔振幅<chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">6mm</chmetcnv>；左室舒张末期前后径<chmetcnv unitname="mm" sourcevalue="35" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">35mm</chmetcnv>；左室后壁厚度<chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">6mm</chmetcnv>；左室后壁振幅<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">7mm</chmetcnv>；右室前后径<chmetcnv unitname="mm" sourcevalue="19" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">19mm</chmetcnv>；主肺动脉内径<chmetcnv unitname="mm" sourcevalue="18" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">18mm</chmetcnv>；MV<chmetcnv unitname="cm" sourcevalue="109" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">109cm</chmetcnv>/s；TV<chmetcnv unitname="cm" sourcevalue="83" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">83cm</chmetcnv>/s；AV<chmetcnv unitname="cm" sourcevalue="141" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on">141 cm</chmetcnv>/s；PV<chmetcnv unitname="cm" sourcevalue="109" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">109cm</chmetcnv>/s；LVEF60%；PASP35mmHg检查意见；左室内径轻度增大，余房室内径正常范。室间隔与左室后壁不厚，运动正常。室间隔膜周部回声中断约<chmetcnv unitname="mm" sourcevalue="9" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">9mm</chmetcnv>。右壁面探及假性瘤组织回声，房间隔连续完整，各瓣膜形态结构及启闭运动正常。大动脉发育正常，主动脉弓降部未见异常。多普勒检查：收缩期室水平探及左向右高速分流信号V=<chmetcnv unitname="cm" sourcevalue="503" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on">503 cm</chmetcnv>/s，PG=101mmHg。。三尖瓣少量反流。检查所见：先天性心脏病；室间隔缺损（膜周部）；室水平左向右分流；轻度肺动脉高压 <personname wst="on" productid="陆">陆</personname>博士，请问：1、室缺增大是随年龄增大还是测量偏差？2、肺动脉高压与以前相比是否增大？3、能否继续观察半年后到贵院复查还是现在就去诊断？谢谢

陆医生 发表于 2007-1-26 05:01:18

您好：     个人意见还是考虑手术治疗吧，近期的结果看来缺损并不小。

jslygsunyo 发表于 2007-1-27 00:23:30

陆<personname></personname>博士：您好！年后的床位会宽余一些吗？陈树宝教授的特需门诊还亲自做彩超吗？谢谢！

页: [1] 2

上海儿童医学中心 心脏中心's Archiver

心脏检查结果，盼复

上海儿童医学中心心脏中心's Archiver