宝宝房缺需要手术吗
<P >我的宝宝在半岁时，被诊断为先天性心脏病，超声诊断结果如下：</P><P ><FONT face="Times New Roman"></FONT>主动脉内径<FONT face="Times New Roman">10mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>左房前后径<FONT face="Times New Roman">10mm</FONT>，左房长／横径：<FONT face="Times New Roman">24</FONT>／<FONT face="Times New Roman">13mm</FONT>，右房长／横径：<FONT face="Times New Roman">23</FONT>／<FONT face="Times New Roman">13mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>左室前后径（舒张／收缩）<FONT face="Times New Roman">18</FONT>／<FONT face="Times New Roman">11mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>左室横径（舒张／收缩）<FONT face="Times New Roman">19</FONT>／<FONT face="Times New Roman">11mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>左室长径（舒张／收缩）<FONT face="Times New Roman">31</FONT>／<FONT face="Times New Roman">22mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>右室前后径<FONT face="Times New Roman">13mm</FONT>，右室长／横径：<FONT face="Times New Roman">24</FONT>／<FONT face="Times New Roman">13mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>室间隔厚度／幅度：<FONT face="Times New Roman">3</FONT>／<FONT face="Times New Roman">4mm</FONT>，与后壁呈逆向运动，</P>
<P ><FONT face="Times New Roman"></FONT>左室后壁厚度／幅度：<FONT face="Times New Roman">4</FONT>／<FONT face="Times New Roman">4mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>右室流出道内径<FONT face="Times New Roman">12mm</FONT>，肺动脉内径<FONT face="Times New Roman">8mm</FONT>，</P>
<P ><FONT face="Times New Roman"></FONT>射血分数<FONT face="Times New Roman">75</FONT>％，短轴缩短率<FONT face="Times New Roman">41</FONT>％，</P>
<P ><FONT face="Times New Roman"></FONT>每搏量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman">mL</FONT>，每分量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman">L/</FONT>分，</P>
<P ><FONT face="Times New Roman"></FONT>跨三尖瓣压力阶差<FONT face="Times New Roman">mmHg</FONT>，肺动脉收缩压<FONT face="Times New Roman">mmHg</FONT>，</P>
<P ><FONT face="Times New Roman">EDVI:ml/mxm,ESVI:ml/mxm</FONT>。</P>
<P ><FONT face="Times New Roman">1</FONT>、房间隔中部连续中断，缺损大小约<FONT face="Times New Roman">5mm</FONT>。彩色血流示：房水平左向右五彩分流束，束宽<FONT face="Times New Roman">5mm</FONT>，频谱多普勒于房缺口右侧记录到正向分流频谱，分流速度<FONT face="Times New Roman">1.1m/s</FONT>，分流时间<FONT face="Times New Roman">0.23</FONT>秒。</P>
<P ><FONT face="Times New Roman">2</FONT>、右房、右室扩大，余心腔大小及大血管内径正常。</P>
<P ><FONT face="Times New Roman">3</FONT>、各瓣膜厚度、弹性及开放幅度正常。彩色血流未见异常。</P>
<P ><FONT face="Times New Roman">4</FONT>、室间隔及左室后壁厚度及搏幅正常。</P>
<P ><FONT face="Times New Roman">5</FONT>、左室<FONT face="Times New Roman">EF</FONT>及<FONT face="Times New Roman">FS</FONT>正常。</P>
<P >超声提示：</P>
<P ><FONT face="Times New Roman"> </FONT>先天性心脏病：</P>
<P ><FONT face="Times New Roman"> 1</FONT>、房间隔缺损或卵圆孔未闭。</P>
<P ><FONT face="Times New Roman"> 2</FONT>、右心扩大。</P>
<P ><FONT face="Times New Roman"> 3</FONT>、彩色血流示：房水平左向右分流。</P>
<P ><FONT face="Times New Roman"> </FONT></P>
<P ><FONT face="Times New Roman"> </FONT>我的宝宝现在已经<FONT face="Times New Roman">3</FONT>岁了，还未做过复查，从宝宝的精神和体质来看一切都很正常，未表现出异常。</P>
<P ><FONT face="Times New Roman"> </FONT>请问专家：<FONT face="Times New Roman">1</FONT>、房缺是否会随年龄的增长而增大？</P>
<P ><FONT face="Times New Roman"> 2</FONT>、此情况是否需要手术治疗，若需要手术应采用何种方式，手术风险大吗？</P>
<P > 3、“右心扩大”是何意思？</P> <FONT color=#000000>怎么没有人答复呀？我的情况和您的差不多．我女儿在２个月时因感冒检查出房缺７mm，现在一岁半了，也没做过复查，心里乱得像一团麻．不知怎么办．请好心的人答复一下吧！我和<FONT face=Verdana>1391928先谢谢了！</FONT></FONT> 您好：<BR> 超声报告是2年前的，没有什么参考价值，建议近期复查后再说。
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