(万分火急!)感冒了,要住院吗?
男孩,四个半月,体重8公斤。 [ 超声诊断报告(2007-03-02做)],如下:超声测值:升主动脉内径8.9mm,主动脉根部内径10.1mm,左房内径19.4mm,左室舒末内径27.0mm. 左室收末内径17.8mm. 室间隔厚度(D/S)4.0/7.3mm. 左室后壁厚径(D/S)4.0/7.3mm。主肺动脉内径11.7mm。心功能:EF 66% (57%-75%) Doppler: 肺动脉瓣1.3m/s,主动脉瓣1.1m/s, 二尖瓣口:E峰1.5m/s,A峰1.3m/s 2D: 左房,左室增大,右房室大小正常。室间隔、左室后壁厚度正常。左室壁运动正常。未见阶段性运动障碍。各瓣膜活动、回声、结构正常。左室长轴切面室间隔膜部及大动脉短轴切面10点钟处,见室间隔连续中断,缺口长5.0mm. 胸骨旁及剑下四腔心切面,房间隔中段连续性中断,缺口长3mm。 CDFI: 于室间隔缺损口处见收缩期五彩血流自左向右通过,最大分流速度3.1cm/s, PG39mmHg. 于房间隔缺损处可见左向右过隔红色血流束。于缺损处右房侧可探及以舒张期为主的全心动周期分流频谱,分流速度:1.0m/s,PG4.4mmHg. 超声提示:先天性心脏病室间隔缺损(膜部)卵圆孔未闭。 孩子今天早上烧到39oC。医院要求马上住院,我们看打完输液烧退了就回家了。不知道是不是必须住院才行。我就是怕交叉感染,还有各项抽血之类的检查折磨孩子,没病也得折腾出病来。请给个建议吧,我该怎么办?如果明确是肺炎,那最好住院,否则就没有必要住院治疗。 <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";">孩子住院了,每天凌晨</span><span lang="EN-US"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">点到</span><span lang="EN-US"><font face="Times New Roman">4</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">点的时候发烧,</span><span lang="EN-US"><font face="Times New Roman">37.8</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">度到</span><span lang="EN-US"><font face="Times New Roman">38.2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">度的烧。</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";">先锋点滴都打了</span><span lang="EN-US"><font face="Times New Roman">8</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">天了,一点都不见效。这两天嗓子也哑了。</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";">今天换打青霉素点滴了。医生拿孩子没办法,就说是上感反复发作。</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";">今天大夫还说有可能是心内膜炎,但是不肯定。</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";">心内膜炎有什么症状呢?怎么能判断?彩超肯定能显示么?</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";">大夫说是“有可能”通过彩超判断。我们该怎么办?</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";">孩子都烧了十天了。白天挺好的,就是一到晚间,我就害怕。</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";">医生请给个建议吧!!!!</span></p> 心内膜炎在临床上是有诊断指标的。建议看专业的心脏内科。
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