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<P ><FONT size=3>宝宝出生第一天检查心脏有杂音、口唇青紫<FONT face="Times New Roman">(</FONT>其它部位不会青紫<FONT face="Times New Roman">)</FONT>，后来做了<FONT face="Times New Roman">B</FONT>超，结果提示新生儿动脉导管未闭及卵圆孔未闭<FONT face="Times New Roman"> (</FONT>结果如下所附<FONT face="Times New Roman">)</FONT>。医生当时说六个月后再做<FONT face="Times New Roman"> B </FONT>超复查，期间如有感冒要引起注意，不需额外护理。现在已满三个月，宝宝发育正常，心脏有轻微杂音，比以前好。但哭时口唇青紫还是较明显。不哭时口唇青紫症状比以前好，基本看不出口唇青紫。但还是担心<FONT face="Times New Roman">……<p></p></FONT></FONT></P>
1 c) q. [# B0 L% W4 a& J3 c+ L<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
X# f. s+ @6 E7 d<P ><FONT size=3>请问医生：<p></p></FONT></P>
# r6 u) d& ?! o6 P; ~& e<P ><FONT face="Times New Roman"><FONT size=3>1.</FONT> </FONT><FONT size=3>从当时<FONT face="Times New Roman"> B </FONT>超结果看，问题是否严重？是否要尽量避免宝宝哭闹？<p></p></FONT></P>
1 `; P1 g1 W8 S4 v" {4 P; ], G' N: B<P ><FONT face="Times New Roman"><FONT size=3>2.</FONT> </FONT><FONT size=3>动脉导管及卵圆孔两种情况的自然闭合的可能性有多高？<p></p></FONT></P>
$ ~/ Z) L& p& C: N* M, x* h: {<P ><FONT face="Times New Roman"><FONT size=3>3.</FONT> </FONT><FONT size=3>是否六个月再做<FONT face="Times New Roman"> B </FONT>超？平时要注意哪些问题？<p></p></FONT></P>6 l# {$ R4 U+ l5 m
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>+ P, C* G7 E8 Z
<P ><FONT size=3>本人在外地，希望能答复，谢谢！<p></p></FONT></P>
( M" n6 [3 _0 q' a% F0 z, @9 D: e<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
2 N' e" C3 E' A- A$ |& A2 G; g<P ><FONT size=3>附：<FONT face="Times New Roman"> <p></p></FONT></FONT></P>
% Y7 a$ l1 e. Y8 J4 V' Q, E6 Y<P ><B>超声影像科检查报告单</B><B><p></p></B></P>. V3 E" Q+ X9 q8 d4 X6 ]+ @4 T
<P ><FONT face="Times New Roman" size=3> </FONT></P>) f, V6 S& K! |1 z. ~
<P ><FONT size=3>性别：男<FONT face="Times New Roman"> </FONT>年龄：<FONT face="Times New Roman">1 </FONT>天<FONT face="Times New Roman"> </FONT>仪器型号：<FONT face="Times New Roman">VV7(1) </FONT>检查部位：心脏<p></p></FONT></P>8 j( f+ t* n( {4 t- Y. A. Q
<P ><FONT face="Times New Roman" size=3> </FONT></P>* |8 Q8 X" {& v" c
<TABLE cellSpacing=0 cellPadding=0 border=1>
0 o/ C3 f' Y5 ]7 X* j& a- P- s! C4 F- ~) H7 x- @0 ^6 z, F
<TR >! Z. c# A; N- A' E5 m$ B! m
<TD vAlign=top width=344 colSpan=2>) X$ Z, x: _# G/ @: K+ \$ i0 Q
<P >心脏测值（<FONT face="Times New Roman">mm</FONT>）<p></p></P></TD># H% k( x8 Z5 ?0 ?% Y9 @ b
<TD vAlign=top width=151>$ W1 K9 U4 m+ n8 u) B
<P ><FONT face="Times New Roman">Doppler</FONT>检查<FONT face="Times New Roman">(m/s)<p></p></FONT></P></TD>9 I7 E% U" s5 j! y3 N
<TD vAlign=top width=178>
S1 T5 Q, X+ q8 k* C; x' M<P >心功能检查<p></p></P></TD>
0 k: _. w' {. ~<TD width=1>
; x. T. r5 g, |# {( i<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>. ^$ A" ~% x3 T$ {0 K/ q
<TR >! L2 t* R& ~; e p/ V2 D
<TD vAlign=top width=165>
+ i/ Y3 l) K7 B8 P! w% J" A& Y7 f<P ><FONT face="Times New Roman">RVOT 7mm<p></p></FONT></P></TD>" X0 [( V# @ n4 w8 {* D: z# |) ]
<TD vAlign=top width=179>
- n/ W$ S- \+ E: D# r: h1 Q8 L; ?<P ><FONT face="Times New Roman">RVDd 10mm<p></p></FONT></P></TD>0 F4 @3 a6 c w' Y* n1 g' T
<TD vAlign=top width=151>
/ [5 V9 f2 s: }<P ><FONT face="Times New Roman">MVE 0.64 m/s<p></p></FONT></P></TD>
( w3 p0 R( \! y: d<TD vAlign=top width=178>6 L+ y8 D! Y. _1 {) I( c
<P ><FONT face="Times New Roman">EF 70%<p></p></FONT></P></TD>/ ^0 x6 y9 ~% s+ f- T
<TD width=1>
3 T6 M L# f* k<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
. t) q* Y( e# T" B<TR >. [3 k+ z9 @, ^* U4 j6 ~
<TD vAlign=top width=165>
9 Z/ [% ~1 g) p4 X, _" a) G<P ><FONT face="Times New Roman">LVDs 10mm<p></p></FONT></P></TD>! ^$ W) c% o8 u: @, ?6 `
<TD vAlign=top width=179>0 |4 O* g# [* t* F
<P ><FONT face="Times New Roman">LVDd 15mm<p></p></FONT></P></TD>% [7 W( [* h* Z! p
<TD vAlign=top width=151>
5 v( j* A3 X0 m2 j9 B! Z<P ><FONT face="Times New Roman">MVA 0.52 m/s<p></p></FONT></P></TD>
: I8 s% n' A& z0 ~' ^% U9 e( {<TD vAlign=top width=178>
2 i4 X0 Z! D% w$ g* \& u1 h5 J* T<P ><FONT face="Times New Roman">FS 36%<p></p></FONT></P></TD>7 M( w( F5 u0 W" ]
<TD width=1>: Y& G' F. p. o4 v
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>0 H- R9 _, Z2 @! Y6 W4 N% C! \
<TR >
" N: l, [8 c) \2 a+ g<TD vAlign=top width=165>
5 f7 r+ x( Y4 @+ ~; T) n<P ><FONT face="Times New Roman">AO 8mm<p></p></FONT></P></TD>
; W. I) f7 W' P2 F" K2 E<TD vAlign=top width=179>
v# M% \* E+ k- U6 Z* f W; V2 q<P ><FONT face="Times New Roman">LA 9mm<p></p></FONT></P></TD>; N7 Y5 L& _( w4 k7 r0 ]6 m
<TD vAlign=top width=151>
B e7 A2 P6 T0 |<P ><FONT face="Times New Roman">TVE 0.35 m/s<p></p></FONT></P></TD>
. f. P* L+ b6 V; Z7 v0 h<TD vAlign=top width=178>
& [' {4 Z6 T2 N2 E<P ><FONT face="Times New Roman"> </FONT></P></TD>
- J- s4 r' N: ^) Z! s; @) a<TD width=1>/ j; \8 K! i6 }- B
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
. q3 e" P A$ N5 O<TR >1 C1 V5 O' F: Z/ D0 o0 B
<TD vAlign=top width=165>
! b/ Q0 R# ]" m: b6 \% x( R<P ><FONT face="Times New Roman">LVSd 4mm<p></p></FONT></P></TD> |5 r) J6 F! B
<TD vAlign=top width=179>1 B$ b4 C! |: R) {
<P ><FONT face="Times New Roman">IVS</FONT>搏动幅度<FONT face="Times New Roman"> 3mm<p></p></FONT></P></TD>
9 z, K0 ?0 B8 U$ {<TD vAlign=top width=151>% H- N: t$ F# O o8 T7 B! y) ?. d
<P ><FONT face="Times New Roman">TVA 0.31 m/s<p></p></FONT></P></TD>
- F3 n* l1 r" `6 b/ b<TD vAlign=top width=179 colSpan=2>1 {% C$ x' F( W
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>5 ~7 F4 e/ p' W' `9 E5 o# R
<TR >7 Q" D, H8 T+ u! T) Z# F
<TD vAlign=top width=165>
B* O; A1 V {<P ><FONT face="Times New Roman">LVPWd 4mm<p></p></FONT></P></TD>4 g$ n( o U, F- I# U8 l$ l
<TD vAlign=top width=179>4 V0 V; N" I! P8 W' m, O
<P ><FONT face="Times New Roman">LVPW</FONT>搏动幅度<FONT face="Times New Roman">9mm<p></p></FONT></P></TD>
7 b h: @0 s' Z, z6 V" \( Y2 t<TD vAlign=top width=151>: J Q7 N0 K: Y( }
<P ><FONT face="Times New Roman">AV 0.79 m/s<p></p></FONT></P></TD>
3 U% v/ D1 y2 M- ^5 _ u3 U<TD vAlign=top width=179 colSpan=2>
& u0 O1 {% a, `" {: ~) U4 S+ ~<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>/ _: D) v3 M4 s- C8 a& M3 ]$ S
<TR >
) e0 c# p! {8 u+ K2 S<TD vAlign=top width=165>
! m* V- f0 l0 g3 d<P ><FONT face="Times New Roman"> </FONT></P></TD>; L1 p% `6 m, E: l- L$ Z' E
<TD vAlign=top width=179>$ I3 x" t% c" X
<P ><FONT face="Times New Roman"> </FONT></P></TD>
! S3 h- Q+ K2 h<TD vAlign=top width=151>' x- K, c8 @( i; Y. @
<P ><FONT face="Times New Roman">PV 0.89 m/s<p></p></FONT></P></TD>
' U* {9 U9 m) b<TD vAlign=top width=179 colSpan=2>
+ s w! R' `! t# g. ^0 J/ U2 _9 z5 m<P ><FONT face="Times New Roman"> </FONT></P></TD></TR></TABLE>
( h. K. m9 T, K+ y6 I3 `! {' T<P ><FONT face="Times New Roman" size=3> </FONT></P>) h# D% T, f" `* M7 W4 {/ O
<P ><FONT size=3><B>超声描述：</B><B><p></p></B></FONT></P>
$ t5 ?7 G4 g, U6 R1 Z4 \) g<P ><FONT size=3>升主动脉内径正常。肺动脉内径正常。主<FONT face="Times New Roman">-</FONT>肺动脉间见异常交通，内径约<FONT face="Times New Roman">3mm</FONT>。心瓣膜回声纤细柔软，启闭良好。各心腔未见明显扩大。左室壁不厚，静息状态室壁运动正常。房室间隔连续完整。心包腔未见液性暗区。<FONT face="Times New Roman">Dopple&CDFI</FONT>：上述主<FONT face="Times New Roman">-</FONT>肺动脉间见异常连续性分流，峰速度约<FONT face="Times New Roman">3.1m/s</FONT>。三尖瓣口见少量返流束峰值速度<FONT face="Times New Roman">2.1m/s</FONT>。房水平中部见细束左向右分流。<p></p></FONT></P>2 I* ~3 f5 R7 t; g/ F
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
# Y& R; w0 P$ v<P ><FONT size=3><B>超声描述：</B><B><p></p></B></FONT></P>
, I, J) K1 L" e( P1 s. a& v<P ><FONT size=3>新生儿动脉导管未闭。<p></p></FONT></P>
& U' t2 y& G V4 t' i* d, K<P ><FONT size=3>卵圆孔未闭。<p></p></FONT></P>9 E7 W# U% d4 y$ u
<P ><B><FONT face="Times New Roman" size=3> </FONT></B>诊断时间：<FONT face="Times New Roman">2005-01-25</FONT></P> |
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发表于 2005-4-26 23:25:19
