<P>男婴,<FONT face="Times New Roman">40</FONT>天。出生体重<FONT face="Times New Roman">3750</FONT>克<FONT face="Times New Roman">,</FONT>目前约<FONT face="Times New Roman">5000</FONT>克。5 l! |; Z7 D& j4 e6 M
<br>% o; ?- [* J; O9 u m/ u) f
<p>* I) E, A, A: r5 q, O
<P><FONT face="Times New Roman">M</FONT>型测值:主动脉根部内径:<FONT face="Times New Roman">13 </FONT>左房内径:<FONT face="Times New Roman">25</FONT>。<FONT face="Times New Roman">6 </FONT>左室内径(<FONT face="Times New Roman">ED</FONT>):<FONT face="Times New Roman">28</FONT>。<FONT face="Times New Roman">1 & V4 K- f- c- o. n3 I- s
<p></FONT>
1 y/ I9 @ m5 M+ }1 s<p>( P$ s; b* c3 U7 o/ w0 @9 L
<P><FONT face="Times New Roman"> </FONT>左室内径(<FONT face="Times New Roman">ES</FONT>):<FONT face="Times New Roman">19</FONT>。<FONT face="Times New Roman">1 </FONT>左室间隔厚度:<FONT face="Times New Roman">3</FONT>。<FONT face="Times New Roman">7 </FONT>左室后壁厚度:<FONT face="Times New Roman">3</FONT>。<FONT face="Times New Roman">7 l) L6 j n0 K; V, ?( Y; E
<p></FONT>
+ A( a J9 S( p# U! ]<p>
% b8 w8 Z& h2 a n) C6 f<P><FONT face="Times New Roman"> EPSS</FONT>:6.2<FONT face="Times New Roman"> </FONT>左室射血分数:<FONT face="Times New Roman">62 </FONT>%<FONT face="Times New Roman"> </FONT>左室内径缩短分数:<FONT face="Times New Roman">32</FONT>%
/ F7 {$ {( G& s% J2 J/ o" } }2 z9 N<p>
0 m+ I+ K* c# P( a1 ?, y. v/ r) X<p>0 W3 v* \* E, M$ Q7 X$ {
<P>描述:<FONT face="Times New Roman">1</FONT>。左房、左室增大,右室肥大,右房大小正常( N- f& L, m# y0 l7 E, H: Q9 y
<p>' _+ T' U$ I/ X- J7 ^ w' C
<p># d! u7 [6 l( U* P. E( T7 X
<P><FONT face="Times New Roman"> 2</FONT>.室间隔、左室后壁未见增厚。两者逆向运动,未见节段性运动异常。0 I& v+ R, w! C8 T0 A4 t
<p>
3 S5 K" S" J5 ]; H<p>% A c6 A9 m! }* {
<P><FONT face="Times New Roman"> 3</FONT>.主动脉根部短轴切面<FONT face="Times New Roman">9</FONT>点至<FONT face="Times New Roman">12</FONT>点处室间隔连续性中断,宽约<FONT face="Times New Roman">12mm,,</FONT>,见左向右为主的双向分流,左至右最大速度1<FONT face="Times New Roman">.</FONT>0<FONT face="Times New Roman">m/s</FONT>,
: z3 c" }4 r/ _# A/ l, L+ v<p>8 _6 v% \$ H- F# P0 u
<p>% F. [8 K6 j! H. w% c
<P>PPG3<FONT face="Times New Roman">.</FONT>9<FONT face="Times New Roman">mmHg</FONT>,右至左0<FONT face="Times New Roman">.</FONT>59<FONT face="Times New Roman">m/s,</FONT>PPG1<FONT face="Times New Roman">.</FONT>4<FONT face="Times New Roman">mmHg n) E7 I7 f3 Z3 i9 ~0 u$ t' x1 s( K7 \
<p></FONT>6 P$ S/ B, F B5 A! i2 N
<p>
6 I1 d! x: r9 [1 j% G6 T+ m<P><FONT face="Times New Roman"> </FONT>4.肺动脉增宽,内径14<FONT face="Times New Roman">mm</FONT>,肺动脉瓣纤细柔软,启闭好,瓣上收缩期最大速度2<FONT face="Times New Roman">.</FONT>1<FONT face="Times New Roman">m/s
* K; T' {( k$ n0 b<p></FONT>
2 m7 G5 n6 m- s/ ^* Z6 [<p>
" ]& z) L; [4 r+ k H" W<P> 5.主动脉瓣纤细,柔软,启闭好。
) W/ ]! l# l' {4 B2 V* \ A<p>" y l3 {4 i! ^' T* C
<p>, M8 L+ i$ ^& B; `0 l
<P> 6二、三尖瓣纤细,柔软,启闭好。0 a; B/ I: o. ~/ h* j
<p>; B8 v) o# e" v$ O8 V" p- e7 c
<p>
2 `% u3 v+ `; {7 j4 X9 m<P> 7.房间隔中上部连续中断,宽约2<FONT face="Times New Roman">.</FONT>1<FONT face="Times New Roman">mm</FONT>,见左向右分流.
! J/ P( r# D2 n* [<p>
) \5 p. H5 I" Y* `<p>
3 Z3 ^8 T$ L9 }0 h3 S$ f& l<P> 8.左室收缩功能正常.# e$ x" J1 I O
<p>6 ~1 P9 m) ^- S* Y+ D) ^
<p>/ g1 G3 l. }! M* c. r( t
<P> 9.右室流出道偏窄,最窄处2<FONT face="Times New Roman">.</FONT>8<FONT face="Times New Roman">mm</FONT>,此处见异常肥厚肌索.
$ F ~+ |0 I$ p5 d( f1 ~<p>+ b6 C4 E. \! p5 B; x
<p>
9 Q: B% e0 _6 [4 S<P>
2 K# h- O0 |% f5 L5 \; V<P><FONT face="Times New Roman"></FONT></P>- V7 D- w1 Y0 A4 h+ C( h+ d
<p>
4 X' G& G) o$ ?4 l2 T2 E& }' F7 Q% C6 B<P>诊断:先心
, \% d! n+ X d( x<P><FONT face="Times New Roman"><FONT face=Arial> </FONT>1.VSD(</FONT>膜周部<FONT face="Times New Roman">,</FONT>宽<FONT face="Times New Roman">12mm)$ A4 H0 n: h0 [ ~2 b; x
<p></FONT>- ~2 i8 {$ B# a, |. I
<p>! p) c$ I1 I1 k/ T: z
<P><FONT face="Times New Roman"> 2.</FONT>右室流出道狭窄+ Y1 t: q# G$ J2 I! Y
<p>
# d; [ A7 x0 r$ [) Y) d<p>8 f4 {) h' ~6 J: V
<P><FONT face="Times New Roman"> 3.ASD(</FONT>继发孔<FONT face="Times New Roman">,</FONT>宽约<FONT face="Times New Roman">2.1mm)
8 s$ R% y; ~6 B) N |, R }<p></FONT>
X0 U( y- F2 r" X" h( Q, t<p>( z( [/ x h2 L; |, p( ~+ A- x
<P><FONT face="Times New Roman"> 4.</FONT>左房、左室增大,右室肥大。: p& u# k9 ]( I% I6 H
<p>; x# r/ J8 Z; u
<p>. \# h0 o3 @8 Z$ x8 W5 d) K( j
<P> 5.左室收缩功能正常
9 T; N6 Q, f& ^2 g<p>+ E$ v; y7 |+ A& h, K7 O- _
<p>
4 m3 Y3 s9 X4 m9 \) }+ H" n# C$ W" d
|