luyuanping 发表于 2007-8-1 00:28:06

2岁,室间隔缺3.5mm 如何处理

<p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p>---------------------------------------------------------------------------------------------</p><p>检查报告抄录如下:</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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;;">岁,男</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;;">,深圳儿童医院心外科</span></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><font size="3"><font face="宋体"><span lang="EN-US">M</span>型超声心动图</font></font></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><span lang="EN-US"><font face="Times New Roman">RVD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="10" unitname="mm">10mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ARD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="15" unitname="mm">15 mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVD&nbsp;&nbsp;&nbsp; <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="34" unitname="mm">34mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>ASD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="18" unitname="mm">18mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVS&nbsp;&nbsp;&nbsp; <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="23" unitname="mm">23mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>PAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="17" unitname="mm">17mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS&nbsp;&nbsp;&nbsp;&nbsp; <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LPAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVPW <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="6" unitname="mm">6mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RPAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LAD<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="23" unitname="mm">23mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>LVOT<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="19" unitname="mm">19mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EF<span style="mso-spacerun: yes;">&nbsp; </span>61%<span style="mso-spacerun: yes;">&nbsp; </span>FS 32%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">二维超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IAS</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;;">正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS</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;;">脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7" unitname="mm">7mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PE<span style="mso-spacerun: yes;">&nbsp; </span></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;;">无</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></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: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">多谱勒超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Vmax (m/sec)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">MV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0/0.5</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.2</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">TV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>0.9/0.4</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心房正位,心室右袢,左心室内径增大,房间隔回声延续正常,室间隔漏斗部回声脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7" unitname="mm">7mm,</chmetcnv></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;;">缺损前缘距肺动脉瓣环</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="5" unitname="mm"><span lang="EN-US">5mm</span></chmetcnv><span lang="EN-US">,</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">上缘为主动脉环。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主动脉右冠犊部分向右室侧膨出,并脱垂向下遮盖缺损室间隔上部分,余瓣膜结构及启闭未见异常</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;;">,</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主,肺动脉位置关系正常。主动脉弓降部未见异常。冠状动脉开口及内径为见异常。心包未见积液回声。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">CDFI</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;;">显示右室流出道内显示源自左室过隔分流信号,分流束宽</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.5" unitname="mm"><span lang="EN-US">3.5mm</span></chmetcnv><span lang="EN-US">, Vmax <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="m">4m</chmetcnv>/s.</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">P64mmHg,</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;;">舒展期主动脉瓣口可见少量返流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声诊断:</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"><font face="Times New Roman">&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-hansi-font-family: &quot;Times New Roman&quot;;">先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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-hansi-font-family: &quot;Times New Roman&quot;;">室间隔缺损(流出道型)</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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-hansi-font-family: &quot;Times New Roman&quot;;">室水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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-hansi-font-family: &quot;Times New Roman&quot;;">主动脉瓣返流(少量)</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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-hansi-font-family: &quot;Times New Roman&quot;;">心脏整体功能指标正常</span></p><p><p>---------------------------------------------------------------------------------------------</p><p>求助:</p><p>小孩刚出生就室间隔缺4.0mm,</p><p>现在一切还可以,没有什么问题,除了瘦(2岁3个月,才11kg, 但有89cm)</p><p>2岁,室间隔缺3.5mm 如何处理?还能长好吗?</p><p>盼复!</p><p></p><p></p></p>-----------------------------------------------------------------------------------------------------<br/>

wincatcher 发表于 2007-8-1 01:43:41

<p>室缺是否能长好与位置有很大的关系。有些位置是长不好的。您需要提供详细的报告。</p>

leonidas 发表于 2007-8-1 04:20:14

<p>个人认为自愈的可能性不大</p><p>请提供相关检查资料,谢谢</p><p></p>

luyuanping 发表于 2007-8-2 01:57:40

<p></p><p>文件为什么上传不了?</p><p>我290k 的JPG和GIF都试了,</p><p>怎样上传文件?</p>

陆医生 发表于 2007-8-2 04:16:42

如果是单纯室缺,可考虑介入治疗。

luyuanping 发表于 2007-8-2 17:27:30

<p>&nbsp;</p><p>http://blog.sina.com.cn/main/html/showpic.html#url=http://s4.album.sina.com.cn/pic/3f8b0a97020012tr</p><p></p><p>谢谢,请看网址报告,</p><p><a href="http://blog.sina.com.cn/main/html/showpic.html#url=http://s4.album.sina.com.cn/pic/3f8b0a97020012tr">http://blog.sina.com.cn/main/html/showpic.html#url=http://s4.album.sina.com.cn/pic/3f8b0a97020012tr</a></p><p>介入治疗效果怎样? 费用怎样?</p><p></p><p>急盼复!</p><p></p>

jiamin 发表于 2007-8-2 21:42:28

<p>检查报告抄录如下:</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></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: 'mso-hansi-font-family:';">岁,男</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: 'mso-hansi-font-family:';">,深圳儿童医院心外科</span></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><font size="3"><font face="宋体"><span lang="EN-US">M</span>型超声心动图</font></font></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><span lang="EN-US"><font face="Times New Roman">RVD <chmetcnv unitname="mm" sourcevalue="10" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>10mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ARD <chmetcnv unitname="mm" sourcevalue="15" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>15 mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVD&nbsp;&nbsp;&nbsp; <chmetcnv unitname="mm" sourcevalue="34" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>34mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>ASD <chmetcnv unitname="mm" sourcevalue="18" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>18mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVS&nbsp;&nbsp;&nbsp; <chmetcnv unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>23mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>PAD <chmetcnv unitname="mm" sourcevalue="17" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>17mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS&nbsp;&nbsp;&nbsp;&nbsp; <chmetcnv unitname="mm" sourcevalue="8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>8mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LPAD <chmetcnv unitname="mm" sourcevalue="8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>8mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVPW <chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>6mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RPAD <chmetcnv unitname="mm" sourcevalue="8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>8mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LAD<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>23mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>LVOT<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv unitname="mm" sourcevalue="19" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>19mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EF<span style="mso-spacerun: yes;">&nbsp; </span>61%<span style="mso-spacerun: yes;">&nbsp; </span>FS 32%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p><font face="Times New Roman"></font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">二维超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IAS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>7mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PE<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">无</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p><font face="Times New Roman"></font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">多谱勒超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Vmax (m/sec)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">MV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0/0.5</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.2</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">TV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>0.9/0.4</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">心房正位,心室右袢,左心室内径增大,房间隔回声延续正常,室间隔漏斗部回声脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>7mm,<chmetcnv></chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">缺损前缘距肺动脉瓣环</span><font face="Times New Roman"><chmetcnv unitname="mm" sourcevalue="5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US">5mm</span><chmetcnv></chmetcnv><span lang="EN-US">,</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">上缘为主动脉环。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">主动脉右冠犊部分向右室侧膨出,并脱垂向下遮盖缺损室间隔上部分,余瓣膜结构及启闭未见异常</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">,</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">主,肺动脉位置关系正常。主动脉弓降部未见异常。冠状动脉开口及内径为见异常。心包未见积液回声。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">显示右室流出道内显示源自左室过隔分流信号,分流束宽</span><font face="Times New Roman"><chmetcnv unitname="mm" sourcevalue="3.5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US">3.5mm</span><chmetcnv></chmetcnv><span lang="EN-US">, Vmax <chmetcnv unitname="m" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>4m<chmetcnv></chmetcnv>/s.</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">P64mmHg,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">舒展期主动脉瓣口可见少量返流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">超声诊断:</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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: 'mso-hansi-font-family:';">室间隔缺损(流出道型)</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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: 'mso-hansi-font-family:';">室水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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: 'mso-hansi-font-family:';">主动脉瓣返流(少量)</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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: 'mso-hansi-font-family:';">心脏整体功能指标正常</span></p>

leonidas 发表于 2007-8-6 19:36:27

1、自愈的可能性不大

2、流出道室缺有点象双动脉下的,建议手术治疗

3、现在就可以行手术治疗,主动脉瓣已经有脱垂,出现轻度返流

4、费用在3-3.5万左右。

luyuanping 发表于 2007-8-9 12:45:41

手术

我代宝宝和全家,谢谢leonidas 医生和贵院提供这样优质的服务:

再请问:
手术成功的把握有多大? 做完后还有复发的可能吗?
住院要多长时间?手术后到疤好大概要多长时间?
可以选择你们的主刀医生吗?

主动脉瓣已经有脱垂,有多大危险,我现在钱还不够,还要等2-3个月,
这样有危险吗?上面的结果是两岁时做的,现在小孩2岁5个月了!

买你们的点券要直接往你们帐号寄钱就好了?这样方便。
我把钱寄你的帐号上可以帮我买点券吗?谢谢!

我是外地的,
到上海做检查(如B超等)要等多长时间?
做手术又要等多长时间?

谢谢!:L

leonidas 发表于 2007-8-9 19:40:08

手术成功率还是很高的。室缺补好后跟正常小孩一样,不存在复发的可能。
住院一般7天左右,术后拆线约2周。
主刀医生由你住院的本组医生决定。
建议早行手术治疗。
点券的事可以发帖咨询管理员。

luyuanping 发表于 2007-8-24 09:33:21

陆博士:
   
   小孩室间隔缺损+动脉瓣脱垂手术是否要锯开肋骨?   如果是锯开肋骨能否长好?
还是通过金属架支撑?时间长了金属架会弯曲吗?

      顺便问一下,我昨天通过支付宝买了50元点券,但我的红心没有增加?
请帮我查查,谢谢! 用户:luyuanping

luyuanping 发表于 2007-8-24 09:35:26

不好意思,我刚才看到有红心了!

luyuanping 发表于 2007-8-27 17:05:43

陆博士:
   
   小孩室间隔缺损+动脉瓣脱垂手术是否要锯开肋骨?   

盼复!

陆医生 发表于 2007-8-27 20:56:39

不是锯开肋骨,是锯开胸骨。
页: [1]
查看完整版本: 2岁,室间隔缺3.5mm 如何处理

为宝宝找到心的方向!