<P >右室<FONT face="Times New Roman"> </FONT>流出道；<FONT face="Times New Roman">29MM </FONT>舒张径；<FONT face="Times New Roman">23MM</FONT></P>
1 O7 L4 E/ h' V8 S<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>4 B: K) w* r) {
<P >左室<FONT face="Times New Roman"> </FONT>收缩末期<FONT face="Times New Roman"> 22mm </FONT>舒张末期<FONT face="Times New Roman">31mm </FONT>后壁厚度<FONT face="Times New Roman">5mm</FONT></P>/ V9 `. ~- p& _ r
<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>& M% Q. P4 G; x
<P >主动脉<FONT face="Times New Roman">17mm</FONT></P># N3 n. W% i; `% G- o0 g
<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P>
) P- P4 a8 k, E, X8 x<P ><FONT face="Times New Roman"> <p></p></FONT></P>; J$ E! U. |, M: B: }- ^
<P >左心功能<p></p></P>5 _- @: f) r0 ~7 o
<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P> o% B' a( ~' |& [3 m
<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P>
5 ?" s! E; s0 {! K<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P>2 {3 q$ f- ]% b' G1 F
<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>
* g6 v" K& ]5 a# X4 ~; ?9 K2 _4 L<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>
2 w/ N. X2 M2 H, K<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>% x( X' F7 t8 c: F7 }$ }9 d0 x
<P >心率（<FONT face="Times New Roman">HR</FONT>）<FONT face="Times New Roman"> 113</FONT>次<FONT face="Times New Roman">/</FONT>分</P>
1 G( @/ l: C/ k' j8 a1 U<P ><FONT face="Times New Roman"> <p></p></FONT></P>3 Z! ? a- G7 \1 W# [+ L
<P >彩色多谱勒血流<p></p></P>
. c- P+ v. S) G' z$ s: `<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>1 g% M7 a) D- `" w- z& s K
<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>; z5 c- |$ t6 }- i% E3 Y
<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>: V4 h5 x1 G* u* ~& n9 s5 k
<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>6 e5 m( ]' a5 B5 d- h
<P >返流<p></p></P>) W5 B8 z1 t8 X( }( F. q
<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>$ T8 {7 T3 y4 c g
<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P>
4 ]; s$ ]4 P* T% r0 }- C7 [. g% Q<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>" o' P8 M$ [+ ?# \
<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>& k! B; M3 x# ], M
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
' H% v8 T. ?( Z0 r' I* X$ l<P >分析</P>
l ?. ?$ x! v/ }8 i6 w<P >心房正位<FONT face="Times New Roman"> </FONT>心室右（柈<FONT face="Times New Roman"> </FONT>）大血管位置正常<p></p></P>
6 h9 b: |+ c7 ^6 Y2 X |# M<P >右心扩大<FONT face="Times New Roman"> </FONT>肺动脉（坢）塞<FONT face="Times New Roman"> </FONT>心尖四腔切面，见左上下肺静脉汇入左房，右上肺静脉显示不满意未汇入左房，冠状静脉窄扩张<FONT face="Times New Roman">0.9 cm</FONT>，室间隔连续良好，各瓣膜浮动形态正常，室壁厚度正常，右室壁主动增强</P>
. W2 p! M. u/ g. }, Q# u9 w- i<P ><FONT face="Times New Roman">CDF2</FONT>，<FONT face="Times New Roman">CW</FONT>，<FONT face="Times New Roman">PW</FONT>：心尖五腔房间隔顶部上<FONT face="Times New Roman">C-R</FONT>红色穿隔血流束，流束宽<FONT face="Times New Roman">0.9 cm</FONT>，<FONT face="Times New Roman">V=139 cm/s</FONT></P>3 h8 c5 L/ f) v9 m }& X I" V
<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>) L2 H1 N: g0 Y
<P ><B >超生诊断<p></p></B></P>; y9 u- k/ U4 Q- D) d2 y8 v
<P >先心病</P>
1 {6 x0 B. H% z* t4 v6 q, S9 D4 ^<P >右心扩大</P>
/ ?) @ m! `0 S. l5 e% K# K2 w<P >部分肺静脉异位分流可能性大</P>
/ d$ @# Q4 X' W8 E<P >上腔型房间隔缺损不除外</P>5 u2 j6 Q7 X- W: C+ j, F5 x: |; J7 O
<P >冠状静脉（窦）扩张</P>" X! h5 m9 H! ]5 z! }
<P >三尖瓣反流</P>8 ] V8 b! r, {% P: W# ?( o. ]
<P >建议进一步检查</P>
" U, V; Y N( k' N7 c6 n& F<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>0 u7 S" F8 Q+ Y) | n U
<P ><FONT face="Times New Roman"></FONT> </P>
4 r1 M; Z; |; z) I8 u0 Z' e<P ><FONT face="Times New Roman">请医生和大家帮帮忙看看我儿子房缺0.5cm+肺静脉异位+三尖瓣反流，三种情况严重吗，手术是不是比较复杂，可不可以做介入？儿子体重35，身高1.05，体质好，不常感冒</FONT></P>
8 V2 |* ^: y4 Z/ w! _+ N& T+ \<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
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发表于 2006-2-20 07:47:16
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发表于 2006-2-21 03:08:06
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