冠冠 发表于 2006-6-30 19:35:29

VSD PDA 左肺动脉闭锁 左弓右降 迷走右锁骨下动脉

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">我家宝宝男&nbsp; 3个月&nbsp;&nbsp;2006年&nbsp; 6月19日</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">儿中心导管检查如下：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">途径：</span><span lang="EN-US"><font face="Times New Roman">REV-IVC-RA-RV-MPA-RPA<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>RFA-DAO-AAO-LV</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">血氧</span><span lang="EN-US"><font face="Times New Roman">(%):DAO 100%</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">右心室血氧增高</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">3</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">压力</span><span lang="EN-US"><font face="Times New Roman">(mmHg) RV=MPA=55mmHg<span style="mso-spacerun: yes;">&nbsp; </span>RPAWP<span style="mso-spacerun: yes;">&nbsp; </span>12mmHg</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">4</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">造影：心房正位，房室边接一致，膜周室缺，左肺动脉近端闭锁可能，</span><span lang="EN-US"><font face="Times New Roman">PDA</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">供应左侧肺血，左肺动脉发育差，左弓右降，迷走右锁</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">下动脉，未见</span><span lang="EN-US"><font face="Times New Roman">COA</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，冠脉可。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">5</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">术后诊断：</span><span lang="EN-US"><font face="Times New Roman">VSD PDA </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左肺动脉近端闭锁</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">左弓右降</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">迷走右锁骨下动脉</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">出院后建议：心内外科计论后决定下一步治疗方案，后来说随访。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">请问我家宝宝有救吗？</span></p>

陆医生 发表于 2006-6-30 19:49:56

您好：<br/>&nbsp;&nbsp;&nbsp; 你们没有得到讨论的结果么？心内科需要讨论的患儿都会跟家属说明讨论结果的。

冠冠 发表于 2006-7-3 22:20:27

<p>得到的结果是</p><p>3个月后随访</p><p>请问下我家宝宝有救吗</p>

冠冠 发表于 2006-7-3 22:24:24

<p>您好：</p><p>请问我家宝宝可以做手术吗？</p>

陆医生 发表于 2006-7-3 23:30:10

<p>您好：估计是要看看左肺动脉的发育情况，如果三个月后仍然发育很差，估计手术可能很小。</p>
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