求助：室缺

cdlike

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">医生你好：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">我小孩出生</span><span lang="EN-US" twffan="done"><font face="Times New Roman">30</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">天检查出心脏杂音，于</span><span lang="EN-US" twffan="done"><font face="Times New Roman">2006</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">年</span><span lang="EN-US" twffan="done"><font face="Times New Roman">5</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">月</span><span lang="EN-US" twffan="done"><font face="Times New Roman">5</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">日在成都华西妇二院做彩超结果如下：：各房室大小基本正常，主动脉内径正常，肺动脉主干未见增宽。房间隔连续，室间隔上部中断</span><span lang="EN-US" twffan="done"><font face="Times New Roman">5</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">毫米，各瓣膜形态、结构及活动未见异常，室间隔与左室后壁厚度及博幅正常，主动脉弓降部发育正常，未见心包积液声像，彩色多普勒超声：室水平探及左向右分流每</span><span lang="EN-US" twffan="done"><font face="Times New Roman">Mxl2M/</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">秒，各心内未见分流。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">结论：先心病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔缺损（膜周型）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" twffan="done"><font face="Times New Roman">7.14</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">日复诊：</span><span lang="EN-US" twffan="done"><font face="Times New Roman">95</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">天，体重</span><span lang="EN-US" twffan="done"><font face="Times New Roman">4</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">公斤</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">各房室大小基本正常，（心电图显示、医生叩诊显示左室增大）主动脉内径正常，肺动脉主干未见增宽。房间隔连续，室间隔上部中断</span><span lang="EN-US" twffan="done"><font face="Times New Roman">8</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">毫米，各瓣膜形态、结构及活动未见异常，室间隔与左室后壁厚度及博幅正常，主动脉弓降部发育正常，未见心包积液声像，彩色多普勒超声：室水平探及左向右分流每</span><span lang="EN-US" twffan="done"><font face="Times New Roman">Mxl2.5M/</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">秒，各心内未见分流，二尖瓣上探及反流量最大速度为</span><span lang="EN-US" twffan="done"><font face="Times New Roman">2.8M/</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">秒</span><span lang="EN-US" twffan="done"><font face="Times New Roman">Vmax</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，余瓣口两侧未探及明显异常血流。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">结论：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">先心病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室间隔缺损（肌部）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">室水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">二尖瓣反流（轻度）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">开药：卡托普利</span><font face="Times New Roman">
6 @' q& f2 e, d; o, C# c9 p7 t                </font><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">十粒，每次</span><span lang="EN-US" twffan="done"><font face="Times New Roman">1/6</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">量。每天</span><span lang="EN-US" twffan="done"><font face="Times New Roman">2</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">次。赖氨肌醇维</span><span lang="EN-US" twffan="done"><font face="Times New Roman">B12</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" twffan="done"><font face="Times New Roman">请问医生我的小孩目前情况是再观察，还是要立即手术，如果手术是做开胸还是介入喃。望能解答为感。</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US" twffan="done"><p><font face="Times New Roman">&nbsp;</font></p></span></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 我对这个诊断表示怀疑，既然是“，室间隔上部中断<span lang="EN-US" twffan="done"><font face="Times New Roman">8</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">毫米，”，为什么还诊断为肌部室缺？两次超声是在同一家医院做的么？为何差别这么大？</span>

cdlike

“室间隔上部中断<span lang="EN-US" twffan="done"><font face="Times New Roman">8</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">毫米”应为室间隔上部回声中断<span lang="EN-US" twffan="done"><font face="Times New Roman">8</font></span><span twffan="done" style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'times new roman'; mso-hansi-font-family: 'times new roman';">毫米。两次检查在同一家医院，同一彩超医生所作。请问医生这种情况需要再到其他医院重新检查吗？</span></span>

陆医生

建议还是到权威医院确诊一下吧。