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1 I; D% ^8 D9 W<P ><FONT size=3>上海儿童医学中心全体医生你们好，我儿<st1:chsdate Year="2004" Month="11" Day="19" IsLunarDate="False" IsROCDate="False" w:st="on"><FONT face="Times New Roman">2004</FONT>年<FONT face="Times New Roman">11</FONT>月<FONT face="Times New Roman">19</FONT>日出生</st1:chsdate>，于<st1:chsdate Year="2006" Month="1" Day="26" IsLunarDate="False" IsROCDate="False" w:st="on"><FONT face="Times New Roman">2006</FONT>年<FONT face="Times New Roman">1</FONT>月<FONT face="Times New Roman">26</FONT>日</st1:chsdate>在苏州大学附属儿童医院做第一次心脏超声检查。<FONT face="Times New Roman"> <p></p></FONT></P># b& i" S0 c4 m" z0 j; r) I; q+ l
<P ><FONT size=3>超声类型：<FONT face="Times New Roman">M</FONT>型<FONT face="Times New Roman">2D</FONT>多普勒，单位<FONT face="Times New Roman">:MM.</FONT>初步报告下：<FONT face="Times New Roman"> <p></p></FONT></FONT></P>
. Z5 L: d, p% T. s8 v<P ><FONT size=3>主要测值：右室流出内径<FONT face="Times New Roman">20.4</FONT>，主动脉根部内径<FONT face="Times New Roman">14.6</FONT>，左房内径<FONT face="Times New Roman">23.5</FONT>，左室舒张末期内径<FONT face="Times New Roman">35.5</FONT>，左室收缩末期内径<FONT face="Times New Roman">21.7</FONT>，室间隔厚度<FONT face="Times New Roman">5.8</FONT>，左室后壁厚度<FONT face="Times New Roman">5.3</FONT>，主肺动脉内径<FONT face="Times New Roman">15.8</FONT>，左冠状动脉起始段内径。<FONT face="Times New Roman"> <p></p></FONT></FONT></P>7 f$ p$ F* d: @+ {5 |1 x
<P ><FONT size=3>声像描述：<FONT face="Times New Roman">1.</FONT>心脏位置及大血管连接正常，左位主动脉弓。<p></p></FONT></P>+ K1 d8 @- \1 N* y4 a
<P ><FONT size=3><FONT face="Times New Roman">2.</FONT>左房<FONT face="Times New Roman">.</FONT>左室增大<FONT face="Times New Roman">,</FONT>室间隔<FONT face="Times New Roman">.</FONT>左室后壁厚度<FONT face="Times New Roman">.</FONT>活动度可<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
/ {" T5 z n3 ^6 u<P ><FONT size=3><FONT face="Times New Roman">3.</FONT>室间隔膜周部（流出道<FONT face="Times New Roman">+</FONT>肌小梁）见回声缺失，约<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="6.5" UnitName="mm"><FONT face="Times New Roman">6.5MM</FONT></st1:chmetcnv>，缺损口见膜样组织覆着，<FONT face="Times New Roman">CDFI</FONT>示：缺损处左向右分流，部分经三尖瓣口漏入右房，<FONT face="Times New Roman">CW</FONT>：<FONT face="Times New Roman">Vmax=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.38" UnitName="m">2.38m</st1:chmetcnv>/s,p=22.7mmHg</FONT>。<p></p></FONT></P>: ]9 D8 Z/ W8 H5 J4 ]
<P ><FONT size=3><FONT face="Times New Roman">4.</FONT>房间隔中部见卵圆孔位闭。<p></p></FONT></P>. }2 `, @& t" x$ ~1 K! S
<P ><FONT size=3><FONT face="Times New Roman">5.</FONT>两组半月瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒在瓣口探及正常层流频普。<p></p></FONT></P>
9 s& t8 |4 A* W: q<P ><FONT size=3><FONT face="Times New Roman">6.</FONT>二<FONT face="Times New Roman">.</FONT>三尖瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒三尖瓣口见轻度返流，压差<FONT face="Times New Roman">P=38.5mmHg</FONT>。<FONT face="Times New Roman"> <p></p></FONT></FONT></P>
$ z( Z( z! F$ V9 }<P ><FONT size=3>超声印象：先天性心脏病：<FONT face="Times New Roman">1.</FONT>室间隔缺损（膜周部）；<FONT face="Times New Roman">2.</FONT>卵圆孔未闭；<FONT face="Times New Roman">3.</FONT>肺动脉高压（轻度）。医生的建议是随访。<FONT face="Times New Roman"> <p></p></FONT></FONT></P>
5 h' o/ `+ f3 m<P ><FONT size=3>心电图为窦性心律。心跳<FONT face="Times New Roman">105</FONT>次<FONT face="Times New Roman">/1</FONT>分钟<FONT face="Times New Roman">. <p></p></FONT></FONT></P>
- u( H' d" o4 G: G+ w) W/ a8 x<P ><FONT size=3>第二次于<st1:chsdate Year="2006" Month="4" Day="25" IsLunarDate="False" IsROCDate="False" w:st="on"><FONT face="Times New Roman">2006</FONT>年<FONT face="Times New Roman">4</FONT>月<FONT face="Times New Roman">25</FONT>日</st1:chsdate>在同一家医院做心超检查<FONT face="Times New Roman">.</FONT>报告如下<FONT face="Times New Roman">:<p></p></FONT></FONT></P>4 V4 ]( C6 x n# Y7 Z) [
<P ><FONT size=3>超声类型<FONT face="Times New Roman">:M</FONT>型<FONT face="Times New Roman"> 2D </FONT>多普勒<FONT face="Times New Roman">.</FONT>单位<FONT face="Times New Roman">:MM<p></p></FONT></FONT></P>& |) D8 q# w7 ^
<P ><FONT size=3>主要测值：右室流出内径<FONT face="Times New Roman">19.8</FONT>，主动脉根部内径<FONT face="Times New Roman">14.8</FONT>，左房内径<FONT face="Times New Roman">19.1</FONT>，左室舒张末期内径<FONT face="Times New Roman">35.6</FONT>，左室收缩末期内径<FONT face="Times New Roman">20.9</FONT>，室间隔厚度<FONT face="Times New Roman">4.7</FONT>，左室后壁厚度<FONT face="Times New Roman">4.3</FONT>，主肺动脉内径<FONT face="Times New Roman">(</FONT>此次无数据<FONT face="Times New Roman">)</FONT>，左冠状动脉起始段内径。<FONT face="Times New Roman"> <p></p></FONT></FONT></P>! L( i$ }: \3 \. E3 [4 T5 R
<P ><FONT size=3><FONT face="Times New Roman"> </FONT>声像描述：<FONT face="Times New Roman">1.</FONT>心脏位置及大血管连接正常，左位主动脉弓<FONT face="Times New Roman"> .<p></p></FONT></FONT></P>
, O- }' b- p- Y( y [! _<P ><FONT size=3><FONT face="Times New Roman"> 2.</FONT>左房<FONT face="Times New Roman">.</FONT>左室增大<FONT face="Times New Roman">,</FONT>室间隔<FONT face="Times New Roman">.</FONT>左室后壁厚度<FONT face="Times New Roman">.</FONT>活动度可<FONT face="Times New Roman">.<p></p></FONT></FONT></P>+ r% ~/ Y% Y i8 y* b2 l
<P ><FONT size=3><FONT face="Times New Roman">3.</FONT>室间隔膜周部（流出道<FONT face="Times New Roman">+</FONT>肌小梁）见回声缺失，约9.8<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="6.5" UnitName="mm"><FONT face="Times New Roman">MM</FONT></st1:chmetcnv>，缺损口见膜样组织覆着，<FONT face="Times New Roman">CDFI</FONT>示：缺损处左向右分流，<FONT face="Times New Roman">CW</FONT>：<FONT face="Times New Roman">Vmax=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.44" UnitName="m">2.44m</st1:chmetcnv>/s,p=23.9mmHg</FONT>。<p></p></FONT></P>% Z9 m3 ?6 f- ^+ a
<P ><FONT size=3><FONT face="Times New Roman">4.</FONT>房间隔完整<FONT face="Times New Roman">,</FONT>多普勒探测无异常<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
( ^1 Z2 Q3 y! e, g9 a<P ><FONT size=3><FONT face="Times New Roman">5.</FONT>两组半月瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒在瓣口探及正常层流频普。<p></p></FONT></P>$ m! H( j- P. D0 g6 \* ^/ Z/ ^
<P ><FONT size=3><FONT face="Times New Roman">6.</FONT>二<FONT face="Times New Roman">.</FONT>三尖瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒三尖瓣口见轻度返流，压差<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="57.7" UnitName="mm">57.7MM</st1:chmetcnv>.<p></p></FONT></FONT></P>) q- d1 t4 R4 [- G2 T9 \) g6 W& ^
<P ><FONT size=3>超声印象：先天性心脏病：<p></p></FONT></P>6 S2 z7 a2 r7 F
<P ><FONT size=3><FONT face="Times New Roman">1.</FONT>室间隔缺损（膜周部）；<p></p></FONT></P>
' N5 ]# P9 A% Q. Z) k1 V<P ><FONT size=3><FONT face="Times New Roman"> 2.</FONT>肺动脉高压<FONT face="Times New Roman">.<p></p></FONT></FONT></P>; \ j2 E5 S( H9 q6 n* }
<P ><FONT size=3><FONT face="Times New Roman"> </FONT>建议是随访<p></p></FONT></P>
% j9 q; G/ N# ^8 c$ C<P ><FONT size=3><FONT face="Times New Roman"> </FONT>心电图为窦性心律<FONT face="Times New Roman"><</FONT>快速<FONT face="Times New Roman">></FONT>心跳<FONT face="Times New Roman">135/1</FONT>分钟<FONT face="Times New Roman">.<p></p></FONT></FONT></P>- e4 d) R; x1 m1 E. p! u
<P ><FONT size=3><FONT face="Times New Roman"> </FONT>对以上两次的检测报告所测数据的变化我感觉迷茫<FONT face="Times New Roman">!</FONT>故在此跪求那位专家帮我分析一下是否有疑虑<FONT face="Times New Roman">?</FONT>如果没有疑虑的话像这种情况是否要动手术<FONT face="Times New Roman">?</FONT>手术费大概多少<FONT face="Times New Roman">?</FONT>还有一点他的隆胸是否跟先心病有关<FONT face="Times New Roman">? </FONT>跪谢<FONT face="Times New Roman">!<p></p></FONT></FONT></P></FONT></FONT> |
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IP卡
发表于 2006-4-30 18:00:16
提升卡
置顶卡
锁帖卡
变色卡
千斤顶
发表于 2006-4-30 18:02:44
楼主
发表于 2006-5-1 01:35:31
