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<p>你好.我孩子六个月了,去医院时查出患有先天性心脏病.我想咨询下:什么时候是她的最佳手术时间?象这种情况应该要注意些什么?这样的情况是属于严重型的吗?可以一次根治吗?谢谢!医院检查的数据如下:</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">超声描述</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>LVED<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="18.1" hasspace="True" negative="False" numbertype="1" tcsc="0">18.1 mm</chmetcnv><span style="mso-spacerun: yes;"> </span>RVED<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="21.2" hasspace="True" negative="False" numbertype="1" tcsc="0">21.2 mm</chmetcnv><span style="mso-spacerun: yes;"> </span>LA<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="18" hasspace="True" negative="False" numbertype="1" tcsc="0">18.0 mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>LVES<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="11.3" hasspace="True" negative="False" numbertype="1" tcsc="0">11.3 mm</chmetcnv><span style="mso-spacerun: yes;"> </span>RVOD<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="10.9" hasspace="True" negative="False" numbertype="1" tcsc="0">10.9 mm</chmetcnv><span style="mso-spacerun: yes;"> </span>RA<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="24.4" hasspace="True" negative="False" numbertype="1" tcsc="0">24.4 mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>EF<span style="mso-spacerun: yes;"> </span>71.1%<span style="mso-spacerun: yes;"> </span>IVS<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="4.6" hasspace="True" negative="False" numbertype="1" tcsc="0">4.60 mm</chmetcnv><span style="mso-spacerun: yes;"> </span>AO<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="18.6" hasspace="True" negative="False" numbertype="1" tcsc="0">18.6 mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>FS<span style="mso-spacerun: yes;"> </span>37.6%<span style="mso-spacerun: yes;"> </span>LVPW<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="4.5" hasspace="True" negative="False" numbertype="1" tcsc="0">4.5 mm</chmetcnv><span style="mso-spacerun: yes;"> </span>PA<span style="mso-spacerun: yes;"> </span><chmetcnv wst="on" unitname="mm" sourcevalue="7.2" hasspace="True" negative="False" numbertype="1" tcsc="0">7.20 mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右房室腔扩大</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左房室腔内径偏小</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">主动脉内径增宽</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">宽间隔与主动脉前壁连续中断</span><font face="Times New Roman"><chmetcnv wst="on" unitname="cm" sourcevalue=".87" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.87cm</span></chmetcnv><span lang="EN-US">, </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">主动脉骑跨于室间隔上</span><span lang="EN-US"><font face="Times New Roman">, </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">骑跨度为</span><span lang="EN-US"><font face="Times New Roman">50%. CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">于此处可探及红兰间穿隔血流信号</span><span lang="EN-US"><font face="Times New Roman">. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">室间隔与左室壁无增厚</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">各室壁运动协调</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左室收缩功能正常</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">心包无异常</span><span lang="EN-US"><font face="Times New Roman">. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右室前壁厚</span><font face="Times New Roman"><chmetcnv wst="on" unitname="cm" sourcevalue=".41" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.41cm</span></chmetcnv><span lang="EN-US">, </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">增厚</span><span lang="EN-US"><font face="Times New Roman">.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉内径</span><font face="Times New Roman"><chmetcnv wst="on" unitname="cm" sourcevalue=".72" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.72cm</span></chmetcnv><span lang="EN-US">. </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">小</span><span lang="EN-US"><font face="Times New Roman">, CDF </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">左肺动脉内径</span><font face="Times New Roman"><chmetcnv wst="on" unitname="cm" sourcevalue=".52" hasspace="True" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.52 cm</span></chmetcnv><span lang="EN-US"> . </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右肺动脉内径</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue=".66" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">0.66m</span></chmetcnv><span lang="EN-US">, </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉瓣回声尚可</span><span lang="EN-US"><font face="Times New Roman">,CDFI </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">示其内收缩期血流信号少</span><span lang="EN-US"><font face="Times New Roman">.</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">余瓣膜回声正常</span><span lang="EN-US"><font face="Times New Roman">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">开放活动良好</span><span lang="EN-US"><font face="Times New Roman">.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman">PWD</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">示二尖瓣口舒张期血流频谱</span><span lang="EN-US"><font face="Times New Roman">e </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">峰</span><span lang="EN-US"><font face="Times New Roman">/ a </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">峰</span><span lang="EN-US"><font face="Times New Roman">> 1, Dec > <chmetcnv wst="on" unitname="cm" sourcevalue="320" hasspace="False" negative="False" numbertype="1" tcsc="0">320cm</chmetcnv>/s2.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman">CWD</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">示肺动脉瓣口收缩期血流峰速</span><font face="Times New Roman"><chmetcnv wst="on" unitname="m" sourcevalue="3.93" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">3.93m</span></chmetcnv><span lang="EN-US">/s, </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">跨瓣压力阶差</span><span lang="EN-US"><font face="Times New Roman">61.6mmHg.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">示肺动脉瓣口收缩期可探及花色血流信号</span><span lang="EN-US"><font face="Times New Roman">.</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><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: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">超声提示</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">先天性心脏病</span><span lang="EN-US"><font face="Times New Roman">: </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">法乐氏四联症</span><span lang="EN-US"><font face="Times New Roman">:</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>1. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">室间隔缺损</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>2. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">主动脉骑跨</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>3. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">肺动脉狭窄</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>4. </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">右室肥大</span><span lang="EN-US"><font face="Times New Roman">
1 K# O0 q$ x: [. C! w </font></span></p><p></p> |
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发表于 2006-8-29 20:57:22
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