紧急咨询房间隔缺损

eilleen

小儿刚刚满60天(出生体重2.85KG,现在体重6公斤), 我们在前两天体检过程中发现他有房间隔缺损, 杭州儿保医院的检查结果如下:
* D$ c7 `% c: A# ]2 h0 G* l<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>M型测量(CM):</FONT></DIV>
: I+ n, g  [& ^  E6 M" o<DIV><FONT face=Arial color=#0000ff>AO  1.13     LA 1.25     LV2.30</FONT></DIV>
$ j: J, L) A: a% o! ]) \- o<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>二维检查:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>1. 剑下及心尖四腔切面见房间隔中部回声失落DIA0.45CM, 位继发孔,左房内见肺静脉汇入.</FONT></DIV>
. n$ G9 I' e4 D) o<DIV><FONT face=Arial color=#0000ff>2. 室间隔完整, 未见未闭动脉导管</FONT></DIV>
* j" L% G/ S; |' V+ ~<DIV><FONT face=Arial color=#0000ff>3. 各瓣膜回声及活动未见异常</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>4. 心脏大血管位置正常, 主动脉弓降部未见明显缩窄</FONT></DIV>
+ ?/ R& M4 Q) ~; p1 r<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
& i& h2 a+ _4 j' H6 g# ^<DIV><FONT face=Arial color=#0000ff>脉冲多普勒:</FONT></DIV>
* X" r# z5 o! l5 [+ c' y: F) L<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面: SV置于房间隔缺损处见舒张期为主向上湍流频谱.</FONT></DIV>
7 V# I- d! j& K. x3 f9 h: a7 ]<DIV><FONT face=Arial color=#0000ff>肺动脉峰值流速1.03M/S, 平均流速0.65M/S, VTI0.15M</FONT></DIV>
. m6 i' r' f9 Q+ ?9 X6 I<DIV><FONT face=Arial color=#0000ff>主动脉峰值流速1.21M/S, 平均流速0.86M/S, VTI0.19M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>心尖四腔切面: SV置于三尖瓣口右房侧见收缩期向下湍流频谱</FONT></DIV>
3 c1 Z; F3 H( i% w<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>彩色多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面见房间隔水平红色血流束从左房入右房</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>胸骨旁及心尖四腔切面三尖瓣水平见蓝色血流束从右室入右房</FONT></DIV>
% A$ \$ r' F' L/ r  Q<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
' _! f2 C; C7 t4 z& L6 O* \( E<DIV><FONT face=Arial color=#0000ff>超声诊断:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>先天性心脏病</FONT></DIV>
+ E1 E4 R) p6 ~<DIV><FONT face=Arial color=#0000ff>房间隔缺损(继发孔DIA0.45CM)</FONT></DIV>
2 ^/ G) Y9 q# S1 D! S<DIV><FONT face=Arial color=#0000ff>三尖瓣轻度返流</FONT></DIV>
& h4 Y* M3 ^; b- A+ h' j0 L5 U<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial></FONT> </DIV>
4 u4 U+ o5 o- B' Y& Y<DIV><FONT face=Arial>我们非常着急, 能否在百忙之中请您帮忙解答以下问题:</FONT></DIV>
9 ?5 }, R) Y7 ^( R0 j$ ~3 _<DIV><FONT face=Arial></FONT> </DIV>
7 E; w! Q3 P. q% V# N. _0 q; O<DIV><FONT face=Arial>(1)小儿的这种状况严重吗?需要手术吗?</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
( }0 F/ y6 j" B! F! A( L! Y: M<DIV><FONT face=Arial></FONT> </DIV>
3 O; `. {  r5 t. e<DIV><FONT face=Arial>(2)</FONT><FONT face=Arial>有没有自己愈合的可能性?</FONT></DIV>