nm3500 发表于 2006-5-5 21:45:49

求助室间隔缺损房间隔缺损

<p>儿子出生21天心脏彩超检查，现在23天全家人都十分着急。下附心脏彩超检查单</p><p>超声所见：<br/>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;心房正位，心室右伴，室间隔膜部回声中断为0.3－0.4cm，CDFI与缺损处左向右分流，CW测最大分流压差为54mmhg，右室流出道通畅未见梗阻。<br/>房间隔继发孔两处回声中断，大小分别为0.2cm及0.3cm，CDFI检出房水平左向右分流。<br/>肺动脉未见增宽，瓣开放无受限，右肺动脉流速偏快，CW测最大流速为2.36m/s，最大压力阶差为22mmhg。<br/>右室壁及室间隔未见肥厚，静息状态下未见室壁节段性运动异常，未见大血管连接走向异常，多普勒超声未见大血管水平分流。<br/>心包回声正常，心包腔未见液性暗区。<br/>诊断：<br/>&nbsp;&nbsp; 室间隔缺损（膜部）<br/>&nbsp;&nbsp; 房间隔缺损（继发孔型，双孔）<br/>&nbsp;&nbsp; 右肺动脉流速偏快<br/>孩子没有什么症状,这种情况能有自己愈合的可能吗？需要动手术吗？如须大概何时呢？右肺动脉流速偏快是否说明肺动脉高压？急盼回复!!!!!!! 谢谢了!</p>

陆医生 发表于 2006-5-6 02:19:02

您好：<BR>    缺损不大，不排除自愈可能，建议定期随访到1岁。

nm3500 发表于 2006-5-6 02:45:18

谢谢管理员<BR>!

nm3500 发表于 2006-5-28 20:11:56

<P><FONT color=#000000>请问admin:小孩现在48天了 生长的很好,请问定期随访是三个月的时候检查吗?</FONT></P>
<P>另外我看到很多帖子说预防针暂停,我想问我家宝宝需要暂时不打预防针吗 ?</P>

陆医生 发表于 2006-5-29 04:31:34

建议三个月复查一次，疫苗不需停。

nm3500 发表于 2006-7-14 06:11:57

<h1 class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">&nbsp;<font size="4">小孩现在91天，重7.2公斤，今天带小孩去检查了心脏B超 </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font size="4">结果如下&nbsp;</font></span></h1><h1 class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"></span></h1><h1 class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"></span></h1><h1 class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></h1><h1 class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 检查结果</span></h1><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><strong>-----------------------------------------------------------------------------------------------------------</strong></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二维及&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 主动脉(窦部)12&nbsp;&nbsp; (环部)8&nbsp;&nbsp;&nbsp;&nbsp;左房16&nbsp;&nbsp; 左室舒末23&nbsp;&nbsp; 缩末14&nbsp;&nbsp;&nbsp; 室间隔4&nbsp;&nbsp; 后壁4</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">M</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超径&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">线</span><span lang="EN-US"><font face="Times New Roman">(mm)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 右室流出道12&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 右室8&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 右房19&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 肺动脉11</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">&nbsp;&nbsp; </font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">&nbsp;<strong>多普勒结果&nbsp;&nbsp;&nbsp;&nbsp; (速度:m/s&nbsp; , 压力:&nbsp; mmgh )</strong></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><strong>MV-E 0.95&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;MV-A 0.75&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; MV-E/A 1.267</strong></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><strong>MS&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; TS&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;AS&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;PS</strong></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><strong>MR&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;TR&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; AR&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PR</strong></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><strong>心功能测定</strong></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><strong>FS(%)&nbsp; 38.3&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; EF(%)&nbsp; 71.1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;SV(ml)&nbsp;&nbsp;&nbsp; 18.7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; CO(l/min)&nbsp;&nbsp;&nbsp;&nbsp; 2.581</strong></font></span></p><p><img src="attachments/dvbbs/2006-7/200671321295570787.jpg" border="0" onload="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onmouseover="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.style.cursor=\'hand\'; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onclick="if(!this.resized) {return true;} else {window.open(\'attachments/dvbbs/2006-7/200671321295570787.jpg\');}" onmousewheel="return imgzoom(this);" alt="" /></p><p><strong>超声所见：</strong><br/></p><p>心房正位，心室右伴，左室腔偏大,余房室腔均未见扩大。</p><p>室间隔膜部回声中断为0.4－0.5cm，CDFI与缺损处检出左向右分流，CW测最大分流压差为90mmhg，右室流出道通畅，未见梗阻。<br/>左室壁及室间隔未见肥厚，静息状态下未见室壁节段性运动异常。</p><p>房间隔完整，大血管连接走向正常，多普勒超声未见房水平及大血管水平分流。<br/>心包回声正常，心包腔未见液性暗区。<br/></p><p><strong>诊断结果</strong>：<br/>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 先天性心脏病：</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 室间隔缺损（膜部）<br/>&nbsp;&nbsp; <br/><font color="#ee3d11"></font></p><p><font color="#ee3d11">请问医生</font>：！目前小孩情况变化是好点还是坏了点，需要注意些什么？</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2&nbsp;左室腔偏大要紧吗？</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3&nbsp;&nbsp;室间隔膜部回声中断为0.4－0.5cm了 ，大了些还有可能自愈吗？</p><p>另下面还有一个图。。</p>

nm3500 发表于 2006-7-14 06:27:18

上传的图<br/>

陆医生 发表于 2006-7-16 18:16:59

您好：<br/>&nbsp;&nbsp;&nbsp; 看起来没有什么变化，建议继续定期复查，可观察到1岁左右。左室腔偏大不是问题。
页: [1]
查看完整版本: 求助室间隔缺损房间隔缺损

为宝宝找到心的方向！