[求助]肺动脉瓣狭窄,何时治疗为佳
<p>小女先7个半月,于5个月时在新华医院查出患有肺动脉瓣狭窄,具体检查资料如下:<br/></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">彩色多普勒报告</span><span lang="EN-US"><font face="Times New Roman"> (2006</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">年</span><span lang="EN-US"><font face="Times New Roman">7</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">月</span><span lang="EN-US"><font face="Times New Roman">12</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">日</span><span lang="EN-US"><font face="Times New Roman">)</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><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";">型超声心动图</span><span lang="EN-US"><font face="Times New Roman">(cm)</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman">LVDd: <u>2.37</u><span style="mso-tab-count: 1;"> </span>LVIVSd:<span style="mso-spacerun: yes;"> </span><u>0.33</u><span style="mso-tab-count: 2;"> </span>LVPWd: <u>0.29</u><span style="mso-tab-count: 2;"> </span>Ao: <u>1.31</u></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman">LVDs:<span style="mso-spacerun: yes;"> </span><u>1.38</u><span style="mso-tab-count: 1;"> </span>LA: <u>1.41<p></p></u></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><u><span lang="EN-US"><p><span style="TEXT-DECORATION: none;"><font face="Times New Roman" size="3"> </font></span></p></span></u></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">频谱多普勒超声</span><span lang="EN-US"><font face="Times New Roman">(M/S)</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman">MPA<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.13" unitname="m">3.13m</chmetcnv>/s </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">余新瓣膜流速正常范围</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" size="3"> </font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" size="3"> </font></p></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";"><font size="3">彩色多普勒紧超声</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman">MR : </font></span><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">阴性</span></u><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 2;"> </span>AI : </font></span><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">阴性</span></u><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 1;"> </span>TR: </font></span><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">阴性</span></u><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 1;"> </span>PI :</font></span><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">轻度</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="2.19" unitname="m"><span lang="EN-US">2.19m</span></chmetcnv><span lang="EN-US">/s</span></font></u></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心房水平</span><font face="Times New Roman"></font><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左向右</span></u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">分流</span><span lang="EN-US"><font face="Times New Roman">,<span style="mso-tab-count: 1;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心室水平</span><font face="Times New Roman">
</font><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">无</span></u><span lang="EN-US"><span style="mso-tab-count: 1;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">分流</span><span lang="EN-US"><font face="Times New Roman">,<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">大动脉水平</span><font face="Times New Roman">
</font><u><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">无分流</span><span lang="EN-US"><p></p></span></u></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><u><span lang="EN-US"><p><span style="TEXT-DECORATION: none;"><font face="Times New Roman" size="3"> </font></span></p></span></u></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";"><font size="3">超声所见</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心脏位置及连接正常</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">房室腔无扩大</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">主动脉无增宽</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉瓣增厚</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">开放受限</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉总干及左肺动脉扩张</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉瓣环</span><span lang="EN-US"><font face="Times New Roman">0.76cm, </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉总干</span><span lang="EN-US"><font face="Times New Roman">1.6cm, </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左肺动脉</span><span lang="EN-US"><font face="Times New Roman">1.0 cm.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">房隔卵圆孔未闭</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">室隔完整</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">房室瓣开放活动正常</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左位主动脉弓</span><span lang="EN-US"><font face="Times New Roman">.</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" size="3"> </font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" size="3"> </font></p></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";"><font size="3">结论</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉瓣狭窄</span><span style="FONT-FAMILY: 宋体;">△</span><span lang="EN-US"><font face="Times New Roman">P39.2mmHg<span style="mso-spacerun: yes;"> </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">卵圆孔未闭</span></font></p> 继续:<br/><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心电图报告</span><span lang="EN-US"><font face="Times New Roman"> (</font><chsdate wst="on" isrocdate="False" islunardate="False" day="10" month="8" year="2006"><font face="Times New Roman">2006</font><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><span lang="EN-US">年</span></span><font face="Times New Roman">8</font><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><span lang="EN-US">月</span></span><font face="Times New Roman">10</font><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><span lang="EN-US">日</span></span></chsdate><font face="Times New Roman">)</font></span></font></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";"><font size="3">结果</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心房率</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>136</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">次</span><span lang="EN-US"><font face="Times New Roman">/</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">分</span><span lang="EN-US"><span style="mso-tab-count: 3;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心室率</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-tab-count: 1;">
</span>136</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">次</span><span lang="EN-US"><font face="Times New Roman">/</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">分</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman">P-R</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">期间</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-tab-count: 1;"> </span>0.12</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">秒</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-tab-count: 4;"> </span>QT</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">率</span><span lang="EN-US"><font face="Times New Roman">:<span style="mso-tab-count: 2;"> </span>1.02</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" size="3"> </font></p></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";"><font size="3">判解</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman">T: V1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">双相</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"></span></font></p><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">X-Ray</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">报告</span><span lang="EN-US"><font face="Times New Roman">(</font><chsdate wst="on" isrocdate="False" islunardate="False" day="7" month="9" year="2006"><font face="Times New Roman">2006</font><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><span lang="EN-US">年</span></span><font face="Times New Roman">9</font><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><span lang="EN-US">月</span></span><font face="Times New Roman">7</font><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"><span lang="EN-US">日</span></span></chsdate><font face="Times New Roman">)</font></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";">检查技术</span><span lang="EN-US"><span style="mso-tab-count: 2;"><font face="Times New Roman"> </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">胸片正位</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";">影像所见</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";">所示胸壁软组织未见异常</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">胸廓对称</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";">纵隔及气管未见明显移位</span><span lang="EN-US"><font face="Times New Roman">.</font></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";">纵隔未见明显增宽</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";">心脏形态大小未见异常</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";">两隔面光整</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">横隔位置正常</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">两肋隔角锐利</span><span lang="EN-US"><font face="Times New Roman">.</font></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";">肺门形态大小位置未见异常</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";">两肺野清晰</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">未见明显异常密度阴影</span><span lang="EN-US"><font face="Times New Roman">.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"> </font></p></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";">诊断意见</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";">肺血一般</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";">心影大小一般</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;">小女这种情况,是否可以做球囊扩张术?何时为佳,还是需要立即手术呢?<br/>盼复,谢谢.</p></span></font><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";"></span></font></p> 您好：<br/> 建议1岁复查，如果有加重倾向可考虑球囊扩张。 顶.<br/>谢谢
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