zjjx 发表于 2007-7-23 19:02:09

[求助]请专家给于建议

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="COLOR: blue; mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">陆医生您好</font></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" style="COLOR: blue; mso-bidi-font-size: 10.5pt;"><font face="Times New Roman"><font color="#000000"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: &quot;Times New Roman&quot;; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-font-kerning: 1.0pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-bidi-font-family: &quot;Times New Roman&quot;;">很冒昧打扰您,请在百忙中给予指点。</span></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="COLOR: blue; mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">1</font></span></b><b style="mso-bidi-font-weight: normal;"><span style="COLOR: blue; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">周岁复查,今年年</span></b><chsdate wst="on" year="2007" month="5" day="30" islunardate="False" isrocdate="False"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="COLOR: blue; mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">5</font></span></b><b style="mso-bidi-font-weight: normal;"><span style="COLOR: blue; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">月</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="COLOR: blue; mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">30</font></span></b><b style="mso-bidi-font-weight: normal;"><span style="COLOR: blue; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">日</span></b></chsdate><b style="mso-bidi-font-weight: normal;"><span style="COLOR: blue; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声所见</span></b><b style="mso-bidi-font-weight: normal;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">:</span></b><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 47.25pt; mso-char-indent-count: 4.5;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">AORD<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="16" hasspace="False" negative="False" numbertype="1" tcsc="0">16mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 47.25pt; mso-char-indent-count: 4.5;"><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">LAD<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span><chmetcnv wst="on" unitname="mm" sourcevalue="19" hasspace="False" negative="False" numbertype="1" tcsc="0">19<span style="FONT-FAMILY: &quot;Times New Roman&quot;;">mm</span></chmetcnv></span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">主要测值</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">参考值</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 47.25pt; mso-char-indent-count: 4.5;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">LVDd<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="34" hasspace="False" negative="False" numbertype="1" tcsc="0">34mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FS<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>31%<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>28</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">—</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">40<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 47.25pt; mso-char-indent-count: 4.5;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">LVDs<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0">23mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EF<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>62 %<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>50</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-bidi-font-size: 10.5pt; mso-hansi-font-family: &quot;Times New Roman&quot;;">-</span><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">80<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 47.25pt; mso-char-indent-count: 4.5;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">LVST<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0">4mm</chmetcnv><p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 47.25pt; mso-char-indent-count: 4.5;"><span lang="EN-US" style="mso-bidi-font-size: 10.5pt;"><font face="Times New Roman">LVPW<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0">4mm</chmetcnv><p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-pagination: no-line-numbers; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">左房、左室增大,余腔室不大,室壁不厚,肺动脉内径<chmetcnv wst="on" unitname="mm" sourcevalue="16" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">16mm</span></chmetcnv>,室间隔膜周部见<chmetcnv wst="on" unitname="mm" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">4mm</span></chmetcnv>回声中断区,<span lang="EN-US">CDFI:</span>该处左向右分流,最大流速:<span lang="EN-US">390/s</span>,最大压差<span lang="EN-US">59mmHg,</span>房间隔回声未见中断,<span lang="EN-US">CDFI:</span>未见异常分流。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-pagination: no-line-numbers; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">各瓣膜形态、回声、活动尚可,<span lang="EN-US">CDFI:</span>二尖瓣轻度返流,余瓣膜未见明显返流。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-pagination: no-line-numbers; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">左室收缩功能正常。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: no-line-numbers;"><b style="mso-bidi-font-weight: normal;"><span style="COLOR: blue; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">超声诊断:<span lang="EN-US"><p></p></span></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-pagination: no-line-numbers; mso-char-indent-count: 2.0;"><span style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">先天性心脏病<span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span></span>室间隔缺损(膜周部)<span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp; </span><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; mso-pagination: no-line-numbers; mso-char-indent-count: 2.0;"><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">二尖瓣轻度返流<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: no-line-numbers;"><span style="COLOR: blue; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;">请求专家指点,盼回复,非常感谢!</span><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt;"><p></p></span></p><p></p>

csunn 发表于 2007-7-24 02:07:48

继续随访,一年做一次心超。

zjjx 发表于 2007-7-24 18:54:29

谢谢专家指点!

csunn 发表于 2007-7-27 19:32:03

不用谢
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