sandy 发表于 2004-12-22 20:14:13

请教

<P>我女儿,12岁,深圳孙逸仙检查结果如下:</P>
<P>
<TABLEcellSpacing=0 cellPadding=0 border=1>

<TR>
<TDvAlign=top width=327 colSpan=2>
<P ><FONT face="Times New Roman">M </FONT>型及二维</P></TD>
<TDvAlign=top width=241 colSpan=4>
<P >多普勒超声</P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >主动脉</P></TD>
<TDvAlign=top width=249>
<P >瓣结构,弓降部</P></TD>
<TDvAlign=top width=76>
<P >项目</P></TD>
<TDvAlign=top width=60>
<P >时相</P></TD>
<TDvAlign=top width=55>
<P >流速</P></TD>
<TDvAlign=top width=50>
<P >压差</P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >半环内径<FONT face="Times New Roman"> mm, </FONT>瓣口开放幅度<FONT face="Times New Roman"> mm</FONT></P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">M/s</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman">mmhg</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >升主动脉径<FONT face="Times New Roman">21mm</FONT>,窦部前后径<FONT face="Times New Roman"> mm</FONT></P></TD>
<TDvAlign=top width=76>
<P >二尖瓣</P></TD>
<TDvAlign=top width=60>
<P >收缩期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >左心房</P></TD>
<TDvAlign=top width=249>
<P >前后径<FONT face="Times New Roman">23mm</FONT>左右径<FONT face="Times New Roman">mm</FONT></P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P >舒张期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">E0.7</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >上下径<FONT face="Times New Roman"> mm </FONT>左房<FONT face="Times New Roman">/</FONT>主动脉</P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">A0.5</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >房间隔缺损<FONT face="Times New Roman">22mm,</FONT>缺损部位继发多孔</P></TD>
<TDvAlign=top width=76>
<P >三尖瓣</P></TD>
<TDvAlign=top width=60>
<P >收缩期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">3.4</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman">49</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >右肺静脉<FONT face="Times New Roman"></FONT>左肺静脉</P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P >舒张期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">E0.9</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >左心室</P></TD>
<TDvAlign=top width=249>
<P >舒张末期前后径<FONT face="Times New Roman">32mm</FONT>左右径<FONT face="Times New Roman">30mm</FONT></P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">A0.6</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >上下径<FONT face="Times New Roman">50 mm </FONT>室间隔厚度<FONT face="Times New Roman">6.5mm</FONT></P></TD>
<TDvAlign=top width=76>
<P >主动脉瓣</P></TD>
<TDvAlign=top width=60>
<P >收缩期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">1.2</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >后壁厚度<FONT face="Times New Roman">6.5mm</FONT></P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P >舒张期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >室间隔缺损<FONT face="Times New Roman">    mm </FONT>缺损部位</P></TD>
<TDvAlign=top width=76>
<P >肺动脉瓣</P></TD>
<TDvAlign=top width=60>
<P >收缩期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">1.2</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >收宿末期前后径<FONT face="Times New Roman">mm</FONT></P></TD>
<TDvAlign=top width=76>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=60>
<P >舒张期</P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">2</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman">16</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P ><FONT face="Times New Roman">EF66%fs   %</FONT></P></TD>
<TDvAlign=top width=76>
<P >房水平</P></TD>
<TDvAlign=top width=60>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman">1.2</FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=249>
<P >心包积液</P></TD>
<TDvAlign=top width=76>
<P >室水平</P></TD>
<TDvAlign=top width=60>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >右心房</P></TD>
<TDvAlign=top width=249>
<P >左右径<FONT face="Times New Roman">mm</FONT>上下径<FONT face="Times New Roman">mm</FONT></P></TD>
<TDvAlign=top width=76>
<P >动脉水平</P></TD>
<TDvAlign=top width=60>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=55>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=50>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >右心室</P></TD>
<TDvAlign=top width=490 colSpan=5>
<P >前后径<FONT face="Times New Roman">32mm</FONT>左右径<FONT face="Times New Roman">38mm</FONT>上下径<FONT face="Times New Roman">52 mm</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
<TDvAlign=top width=490 colSpan=5>
<P >前壁厚度<FONT face="Times New Roman">mm</FONT>,流出道径上<FONT face="Times New Roman"> mm</FONT>中<FONT face="Times New Roman"> mm</FONT>下<FONT face="Times New Roman"> mm</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >肺动脉瓣</P></TD>
<TDvAlign=top width=490 colSpan=5>
<P >结构<FONT face="Times New Roman"></FONT>环内径<FONT face="Times New Roman">mm </FONT>主肺动脉经<FONT face="Times New Roman"> 24mm</FONT>右肺动脉经<FONT face="Times New Roman"> 13mm</FONT>左肺动脉经<FONT face="Times New Roman"> 13mm</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >二尖瓣</P></TD>
<TDvAlign=top width=490 colSpan=5>
<P >结构<FONT face="Times New Roman"></FONT>腱索<FONT face="Times New Roman"> </FONT>瓣环内径<FONT face="Times New Roman">mm</FONT>瓣口面积<FONT face="Times New Roman">cm2 </FONT>瓣口开放幅度<FONT face="Times New Roman"> mm</FONT></P></TD></TR>
<TR>
<TDvAlign=top width=78>
<P >三尖瓣</P></TD>
<TDvAlign=top width=490 colSpan=5>
<P >结构<FONT face="Times New Roman"></FONT>腱索<FONT face="Times New Roman"> </FONT>瓣环内径<FONT face="Times New Roman">mm</FONT>瓣口面积<FONT face="Times New Roman">cm2 </FONT>瓣口开放幅度<FONT face="Times New Roman"> mm</FONT></P></TD></TR></TABLE></P>
<P ><FONT size=3>结构功能描述:</FONT></P>
<P ><FONT size=3>房间隔筛孔状继发多孔缺损<FONT face="Times New Roman">22mm, </FONT>左向右分流,流速<FONT face="Times New Roman">1.2m/s</FONT>右心显著大<FONT face="Times New Roman">, </FONT>三尖瓣轻度返流,流速<FONT face="Times New Roman">3.4m/s, </FONT>压差<FONT face="Times New Roman">449mmhg,(</FONT>估测肺动脉收宿压<FONT face="Times New Roman">54mmhg)</FONT>,肺动脉瓣轻微返流,流速<FONT face="Times New Roman">2m/s, </FONT>压差<FONT face="Times New Roman">16mmhg</FONT>,(估测肺动脉舒张压<FONT face="Times New Roman">22mmhg</FONT>),主动脉肺动脉、左心室右心室、左心房右心房位置关系正常,内脏无转位,室间隔连续完整,主动脉肺动脉及分支发育正常,无导管,房室瓣,动脉瓣结构、运动正常,室壁厚度正常,室壁运动协调,左右心室整体收缩功能正常,<FONT face="Times New Roman">EF66%</FONT>,心包无积液</FONT></P>
<P ><FONT size=3>超声诊断:</FONT></P>
<P ><FONT size=3>先天性心脏病</FONT></P>
<P ><FONT size=3>继发孔型房间隔缺损(多孔缺损)</FONT></P>
<P ><FONT size=3>三尖瓣轻度返流</FONT></P>
<P ><FONT size=3>肺动脉压升高</FONT></P>
<P>请教:</P>
<P>一、最好的方案,能介入吗,还是非开胸不可</P>
<P>二、寒假期间能安排吗</P>
<P>三、所有费用</P>
<P>四、其他建议</P>

<P>                     谢</P>
<P>                                                                                 胡青松</P>
<P>                                                                              13802299352</P>
<P>                                                                               <a href="mailthop1999@hotmail.com" target="_blank" >hop1999@hotmail.com</A></P>

陆医生 发表于 2004-12-22 20:42:21

您好:
    1,缺损还是比较大的,介入可能有困难;
    2,我们没有寒假,可能过年后会休息5天,但值班的人肯定有;
    3,手术费用2.5万元左右;

sandy 发表于 2004-12-22 23:24:38

<P>      2.5万元包含住院费用吗?</P><P>      你的意思一定要开胸,?</P><P>       开胸的疤痕有多大??</P>

陆医生 发表于 2004-12-23 16:18:13

您好:
    1,包含住院费用;
    2,必须开胸;
    3,考虑小孩为女孩,我们会尽量考虑美观问题。

liuql 发表于 2004-12-24 00:27:59

深圳的病友,赶快去上海儿童医学中心治疗,技术设备一流
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