肺动脉狭窄（瓣膜型）治疗咨询
<P >我儿新出生<FONT face="Times New Roman">5</FONT>天，重<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="3.6" UnitName="kg"><FONT face="Times New Roman">3.6Kg</FONT></st1:chmetcnv>，检查心脏有杂音，经心脏彩色多普勒超声检查结果如下：</P><P >影像所见：内径测量（<FONT face="Times New Roman">mm)</FONT></P>
<P ><FONT face="Times New Roman">RV:10.1 </FONT>；<FONT face="Times New Roman"> LVDd</FONT>：<FONT face="Times New Roman">21.1</FONT>；<FONT face="Times New Roman">LVDs</FONT>：<FONT face="Times New Roman">14.3</FONT>；<FONT face="Times New Roman">RVOT</FONT>：<FONT face="Times New Roman">13.5</FONT></P>
<P ><FONT face="Times New Roman">A0</FONT>：<FONT face="Times New Roman">7.9</FONT>；<FONT face="Times New Roman">LA</FONT>：<FONT face="Times New Roman">11.6</FONT>；<FONT face="Times New Roman">MPA:7.6</FONT></P>
<P ><FONT face="Times New Roman">Vmax</FONT>（<FONT face="Times New Roman">m/s)</FONT></P>
<P ><FONT face="Times New Roman">PV:1.89</FONT>；<FONT face="Times New Roman">AV:1.07</FONT>；<FONT face="Times New Roman">TV:0.47</FONT>；<FONT face="Times New Roman">MV</FONT>：<FONT face="Times New Roman">0.58</FONT></P>
<P ><p><FONT face="Times New Roman"> </FONT></p></P>
<P >右房室增大，室间隔与左室后壁呈逆向运动，<FONT face="Times New Roman">PV</FONT>反射增粗，开放受限，<FONT face="Times New Roman">PV</FONT>开放口径：<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="4.3" UnitName="mm"><FONT face="Times New Roman">4.3mm</FONT></st1:chmetcnv>，<FONT face="Times New Roman">PA</FONT>窄后扩张，<FONT face="Times New Roman">PA</FONT>内探及收缩期湍流，跨<FONT face="Times New Roman">PV</FONT>之⊿<FONT face="Times New Roman">P</FONT>＝<FONT face="Times New Roman">14.2mmHg</FONT>。房间隔可见卵圆孔瓣反射，可见红色彩流从左房至右房分流，彩流束大小<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="3" UnitName="mm"><FONT face="Times New Roman">3mm</FONT></st1:chmetcnv>，<FONT face="Times New Roman">IVS</FONT>、<FONT face="Times New Roman">AOA</FONT>完整。</P>
<P >三尖瓣至右房侧可探及蓝色返流束及收缩期湍流。</P>
<P >肺动脉瓣下方探及红色返流束及舒张期湍流。</P>
<P ><p><FONT face="Times New Roman"> </FONT></p></P>
<P >诊断意见：肺动脉狭窄（瓣膜型）；卵圆孔未闭<FONT face="Times New Roman"> </FONT>。</P>
<P ><p><FONT face="Times New Roman"> </FONT></p></P>
<P >请问：我儿此病情何时治疗最佳？采取何种手段治疗？费用如何？心切，望复！</P><st1:PersonName w:st="on" ProductID="郭">郭</st1:PersonName>先生 Dany.guo@gmail.com 您好：<BR> 狭窄程度看起来不算很严重，建议3个月复查一次。 <P>考虑会不会是法乐氏三联症？是否还要再查超声心动？<U><FONT color=#cc0033>卵圆孔多久可以自闭？可能性多大？</FONT></U></P>
<P><U><FONT color=#cc0033>谢谢！</FONT></U></P> <P>您好；<BR> 法乐氏三联症这种称谓本身就不大规范，卵圆孔自愈可能还是很大的。</P>
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