心脏检查结果，盼复

jslygsunyo

<P >尊敬的专家：</P>
<P ><FONT face="Times New Roman">1</FONT>月大的男孩，心脏检查报告为：</P>
- `/ V% w. y- }9 X<P >升主动内径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="10" UnitName="mm"><FONT face="Times New Roman">10mm</FONT></st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="8" UnitName="mm"><FONT face="Times New Roman">8mm</FONT></st1:chmetcnv>；窦部前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="12" UnitName="mm"><FONT face="Times New Roman">12mm</FONT></st1:chmetcnv>；右室流出道<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="15" UnitName="mm"><FONT face="Times New Roman">15mm</FONT></st1:chmetcnv>；左房前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="20" UnitName="mm"><FONT face="Times New Roman">20mm</FONT></st1:chmetcnv>；室间隔厚度<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="4" UnitName="mm"><FONT face="Times New Roman">4mm</FONT></st1:chmetcnv>；室间隔振幅<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="6" UnitName="mm"><FONT face="Times New Roman">6mm</FONT></st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="27" UnitName="mm"><FONT face="Times New Roman">27mm</FONT></st1:chmetcnv>；左室后壁厚度<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="4" UnitName="mm"><FONT face="Times New Roman">4mm</FONT></st1:chmetcnv>；左室后壁振幅<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="7" UnitName="mm"><FONT face="Times New Roman">7mm</FONT></st1:chmetcnv>；右室前后径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="12" UnitName="mm"><FONT face="Times New Roman">12mm</FONT></st1:chmetcnv>；主动脉内径<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="13" UnitName="mm"><FONT face="Times New Roman">13mm</FONT></st1:chmetcnv>；<FONT face="Times New Roman">MV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="93" UnitName="cm">93cm</st1:chmetcnv>/s</FONT>；<FONT face="Times New Roman">TV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="64" UnitName="cm">64 cm</st1:chmetcnv>/s</FONT>；<FONT face="Times New Roman">AV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="123" UnitName="cm">123 cm</st1:chmetcnv>/s</FONT>；<FONT face="Times New Roman">PV<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="123" UnitName="cm">123 cm</st1:chmetcnv>/s</FONT>；<FONT face="Times New Roman">LVEF60%</FONT>；<FONT face="Times New Roman">PASP25mmHg</FONT></P>
<P >检查意见</P>
<P >左房室轻大，余房室内径正常范。房间隔中部探及回声脱失约<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="5" UnitName="mm"><FONT face="Times New Roman">5mm</FONT></st1:chmetcnv>，室间隔膜周部探及回声脱失约<FONT face="Times New Roman">4</FONT>—<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="5" UnitName="mm"><FONT face="Times New Roman">5mm</FONT></st1:chmetcnv>，室缺右室面探及纤维组织。室壁不厚，运动协调。各瓣膜形态、结构未见异常。主动脉、肺动脉内径正常。</P>
% q' E' m: t; d! F<P >多普勒检查：房、室水平左向右分流，速度分别为<FONT face="Times New Roman">V=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="186" UnitName="cm">186 cm</st1:chmetcnv>/s</FONT>，<FONT face="Times New Roman">PG=14mmHg</FONT>（房水平）；<FONT face="Times New Roman">V=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="True" SourceValue="333" UnitName="cm">333 cm</st1:chmetcnv>/s</FONT>，<FONT face="Times New Roman">PG=41mmHg</FONT>（房水平）。二尖瓣少量返流，三尖瓣轻微反流。</P>
3 Z$ m, D) l% ]* q9 r<P >检查所见：</P>
<P >先天性心脏病：室间隔缺损（膜周部）；室水平左向右分流；房间隔缺损（Ⅱ孔型）；房水平左向右分流；二尖瓣少量返流。</P>
<P >请问专家：情况怎样？何时做手术为佳？费用多少？</P>

全康复

病情不是很严重，建议3至6个月复查，有自愈可能。如果要手术，手术费用3万左右。

陆医生

您好：<BR>    同意二楼意见。

jslygsunyo

<P>请问：</P>
<P>1、出生时体重<st1:chmetcnv UnitName="kg" SourceValue="3.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">3.4Kg</st1:chmetcnv>；一个月时体重<st1:chmetcnv UnitName="kg" SourceValue="4.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4.4Kg</st1:chmetcnv>；2个月时，体重为<st1:chmetcnv UnitName="kg" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5Kg</st1:chmetcnv>，发育是否缓慢？</P>
) E" i3 W1 T* z5 _* D" k, u<P>2、孩子睡觉时易醒，连续时间不超过1个小时，是否与先心病有关？</P>
<P>谢谢</P>

jslygsunyo

<P >请问：</P>
, N2 S/ I  u$ N; D/ @3 f$ Z. _<P >1、出生时体重<st1:chmetcnv UnitName="kg" SourceValue="3.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on"><FONT face="Times New Roman">3.4Kg</FONT></st1:chmetcnv>；一个月时体重<st1:chmetcnv UnitName="kg" SourceValue="4.4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on"><FONT face="Times New Roman">4.4Kg</FONT></st1:chmetcnv>；<FONT face="Times New Roman">2</FONT>个月时，体重为<st1:chmetcnv UnitName="kg" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on"><FONT face="Times New Roman">5Kg</FONT></st1:chmetcnv>，发育是否缓慢？</P>
<P >2、孩子晚上睡觉时易醒，连续时间不超过<FONT face="Times New Roman">1</FONT>个小时；白天睡觉时间亦较短，经常哭闹，是否与先心病有关？</P>
<P >谢谢</P>

陆医生

您好：<BR>    建议到儿童保健科咨询。

jslygsunyo

<P 0cm 0cm 0pt; LINE-HEIGHT: 150%"><st1:chsdate w:st="on" IsROCDate="False" IsLunarDate="False" Day="25" Month="11" Year="2005">2005年11月25日</st1:chsdate>，4个月检查，体重7.6Kg：<p></p></P>
9 b" q, Y3 r/ o6 o6 P9 _: ]<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">升主动内径<st1:chmetcnv UnitName="mm" SourceValue="14" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">14mm</st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv UnitName="mm" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11mm</st1:chmetcnv>；窦部前后径<st1:chmetcnv UnitName="mm" SourceValue="14" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">14mm</st1:chmetcnv>；右室流出道<st1:chmetcnv UnitName="mm" SourceValue="18" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">18mm</st1:chmetcnv>；左房前后径<st1:chmetcnv UnitName="mm" SourceValue="24" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">24mm</st1:chmetcnv>；室间隔厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；室间隔振幅<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv UnitName="mm" SourceValue="32" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">32mm</st1:chmetcnv>；左室后壁厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；左室后壁振幅<st1:chmetcnv UnitName="mm" SourceValue="8" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">8mm</st1:chmetcnv>；右室前后径<st1:chmetcnv UnitName="mm" SourceValue="12" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">12mm</st1:chmetcnv>；主动脉内径<st1:chmetcnv UnitName="mm" SourceValue="14" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">14mm</st1:chmetcnv>；MV<st1:chmetcnv UnitName="cm" SourceValue="112" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">112cm</st1:chmetcnv>/s；TV<st1:chmetcnv UnitName="cm" SourceValue="68" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">68cm</st1:chmetcnv>/s；AV<st1:chmetcnv UnitName="cm" SourceValue="152" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">152 cm</st1:chmetcnv>/s；PV<st1:chmetcnv UnitName="cm" SourceValue="110" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">110cm</st1:chmetcnv>/s；LVEF62%；PASP29mmHg<p></p></P>
/ g( t1 L8 X+ p/ J3 ~) Q<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">检查意见；<p></p></P>
& P4 W% k, K6 n2 B<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">左室内径轻度增大，左室流出道偏宽，室间隔与左室后壁不厚，运动增强。室间隔膜部回声中断约4—<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>。室缺右壁面可见纤维模样回声，房间隔卵孔处可见回声脱失约3—<st1:chmetcnv UnitName="mm" SourceValue="4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4mm</st1:chmetcnv>，各瓣膜形态结构及启闭运动正常。大动脉发育正常，主动脉弓降部未见异常。<p></p></P>
* V7 @5 y& o( H) H6 q) _( j* m<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">多普勒检查：收缩期室水平探及左向右高速分流信号V=<st1:chmetcnv UnitName="cm" SourceValue="527" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">527 cm</st1:chmetcnv>/s，PG=111mmHg。房水平可探及左向右分流V=<st1:chmetcnv UnitName="cm" SourceValue="171" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">171cm</st1:chmetcnv>/s，PG=11mmHg，（CDFI：房水平可探及两束分流信号）。二尖瓣少量返流，三尖瓣轻微反流。<p></p></P>
* ~" ?2 U5 W5 m, T& M9 m% E<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">检查所见：<p></p></P>
/ Y/ v) q6 ^( a( @<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">先天性心脏病；室间隔缺损（膜部）；室水平左向右分流；房间隔缺损（卵圆孔未闭或小房缺多发不除外）；房水平左向右分流；二尖瓣少量返流。<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">请问：</P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%"><FONT face="Times New Roman">1</FONT>、和上次检查相比，有何变化？<p></p></P>
$ {& }* ]. d6 `5 z/ X. D, \<P 0cm 0cm 0pt; LINE-HEIGHT: 150%"><FONT face="Times New Roman">2</FONT>、这种情况适合介入还是手术？<p></p></P>
1 P& k" v, H- t& f<P 0cm 0cm 0pt; LINE-HEIGHT: 150%"><FONT face="Times New Roman">3</FONT>、去贵院就诊，应挂内科还是外科；；针对这种病情，哪一位专家较擅长？</P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">谢谢</P>

陆医生

您好：<BR>    个人觉得没有什么变化；<BR>    建议看心脏外科徐志伟教授门诊。

jslygsunyo

<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">8个半，男孩，<st1:chmetcnv UnitName="kg" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11Kg</st1:chmetcnv>，<st1:chsdate w:st="on" Year="2006" Month="4" Day="7" IsLunarDate="False" IsROCDate="False">06年4月7日</st1:chsdate>检查结果如下：<p></p></P>
. g, ]2 {5 j4 B# f/ J) Z3 ?<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">升主动脉径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；主动脉瓣环内径<st1:chmetcnv UnitName="mm" SourceValue="11" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">11mm</st1:chmetcnv>；窦部前后径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；右室流出道<st1:chmetcnv UnitName="mm" SourceValue="19" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">19mm</st1:chmetcnv>；左房前后径<st1:chmetcnv UnitName="mm" SourceValue="27" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">27mm</st1:chmetcnv>；室间隔厚度<st1:chmetcnv UnitName="mm" SourceValue="5" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">5mm</st1:chmetcnv>；室间隔振幅<st1:chmetcnv UnitName="mm" SourceValue="7" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">7mm</st1:chmetcnv>；左室舒张末期前后径<st1:chmetcnv UnitName="mm" SourceValue="37" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">37mm</st1:chmetcnv>；左室后壁厚度<st1:chmetcnv UnitName="mm" SourceValue="4" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">4mm</st1:chmetcnv>；左室后壁振幅<st1:chmetcnv UnitName="mm" SourceValue="9" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">9mm</st1:chmetcnv>；右室前后径<st1:chmetcnv UnitName="mm" SourceValue="13" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">13mm</st1:chmetcnv>；主肺动脉内径<st1:chmetcnv UnitName="mm" SourceValue="16" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">16mm</st1:chmetcnv>；MV<st1:chmetcnv UnitName="cm" SourceValue="94" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">94cm</st1:chmetcnv>/s；TV<st1:chmetcnv UnitName="cm" SourceValue="80" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">80cm</st1:chmetcnv>/s；AV<st1:chmetcnv UnitName="cm" SourceValue="135" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">135cm</st1:chmetcnv>/s；PV<st1:chmetcnv UnitName="cm" SourceValue="112" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">112 cm</st1:chmetcnv>/s；LVEF60%；PASP27mmHg<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">检查所见：<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">左室内径轻度增大，左室流出道偏宽，室间隔和左室后壁不厚，运动增强。室间隔膜部回声中断约4—<st1:chmetcnv UnitName="mm" SourceValue="6" HasSpace="False" Negative="False" NumberType="1" TCSC="0" w:st="on">6mm</st1:chmetcnv>。室缺右室面可见纤维膜样回声膨出，房间隔卵孔处可见回声分离。各瓣膜形态结构及启闭运动正常。主动脉、肺动脉内径正常。<p></p></P>
* E8 Z/ D- B0 v<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">多普勒检查：收缩期室水平探及左向右高速分流信号V=<st1:chmetcnv UnitName="cm" SourceValue="512" HasSpace="True" Negative="False" NumberType="1" TCSC="0" w:st="on">512 cm</st1:chmetcnv>/s，PG=105 mmHg。房水平卵孔处可探及左向右分流。二尖瓣微量反流，三尖瓣少量反流。<p></p></P>
) w- e  g6 _/ t* `" r7 A9 s7 T$ j<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">检查意见：<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">先天心脏病<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">室间隔缺损（膜部）<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">室水平左向右分流<p></p></P>
3 ?; }2 p/ ~2 y<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">卵圆孔未闭<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">房水平左向右分流<p></p></P>
$ v: N( a6 m6 w; `# q<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">三尖瓣少量反流<p></p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%"><p> </p></P>
<P 0cm 0cm 0pt; LINE-HEIGHT: 150%">请问：病情怎样？是继续观察还是需要到贵院确诊？<p></p></P>谢谢！

陆医生

您好；<BR>    房缺基本上关闭了，室缺没有什么变化，还可以再观察一段。

jslygsunyo

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><chsdate wst="on" year="2006" month="7" day="18" islunardate="False" isrocdate="False"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">2006</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">年</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">7</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">月</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">18</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">日</span></chsdate><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">，在贵院检查结果如下：</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">1</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">、放射诊断意见：心影大，肺血多</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">、心电提示：左室高电压，</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">Vs</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">深</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">S<p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">3</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">、彩超报告：</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">VSD</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">（</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: red; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">PWZ</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">）</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">0.6</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">，假性</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">**</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">瘤形成，引流口</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">0.33</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">，</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">L</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">→</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">R</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">，</span><font face="Times New Roman"><chmetcnv unitname="m" sourcevalue="3.8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;">3.8m</span></chmetcnv><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;">/s</span></font><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">，<span style="COLOR: red;">引流弥散</span>，</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">WG</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">→下，左心室</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">*</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">大</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">注：<span style="COLOR: red;">红色</span>字体为估计文字。</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><personname wst="on" productid="徐志伟"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">徐志伟</span></personname><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">教授安排半年后复查。</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p>

陆医生

你的问题是什么？

jslygsunyo

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><chsdate wst="on" year="2007" month="1" day="23" islunardate="False" isrocdate="False"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">抱歉，本想发2个贴，便于观察。</font></span></chsdate></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><chsdate wst="on" year="2007" month="1" day="23" islunardate="False" isrocdate="False"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">2007</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">年</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">1</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">月</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">23</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">日</span></chsdate><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">检查，男孩，</span><chmetcnv unitname="kg" sourcevalue="13.5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">13.5Kg</font></span></chmetcnv><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">，</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">升主动内径<chmetcnv unitname="mm" sourcevalue="17" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">17mm</span></chmetcnv>；主动脉瓣环内径<chmetcnv unitname="mm" sourcevalue="11" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">11mm</span></chmetcnv>；窦部前后径<chmetcnv unitname="mm" sourcevalue="18" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">18mm</span></chmetcnv>；右室流出道<chmetcnv unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">23mm</span></chmetcnv>；左房前后径<chmetcnv unitname="mm" sourcevalue="28" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">28mm</span></chmetcnv>；室间隔厚度<chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">6mm</span></chmetcnv>；室间隔振幅<chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">6mm</span></chmetcnv>；左室舒张末期前后径<chmetcnv unitname="mm" sourcevalue="35" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">35mm</span></chmetcnv>；左室后壁厚度<chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">6mm</span></chmetcnv>；左室后壁振幅<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">7mm</span></chmetcnv>；右室前后径<chmetcnv unitname="mm" sourcevalue="19" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">19mm</span></chmetcnv>；主肺动脉内径<chmetcnv unitname="mm" sourcevalue="18" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">18mm</span></chmetcnv>；<span lang="EN-US">MV<chmetcnv unitname="cm" sourcevalue="109" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">109cm</chmetcnv>/s</span>；<span lang="EN-US">TV<chmetcnv unitname="cm" sourcevalue="83" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">83cm</chmetcnv>/s</span>；<span lang="EN-US">AV<chmetcnv unitname="cm" sourcevalue="141" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on">141 cm</chmetcnv>/s</span>；<span lang="EN-US">PV<chmetcnv unitname="cm" sourcevalue="109" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on">109cm</chmetcnv>/s</span>；<span lang="EN-US">LVEF60%</span>；<span lang="EN-US">PASP35mmHg<p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">检查意见；<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">左室内径轻度增大，余房室内径正常范。室间隔与左室后壁不厚，运动正常。室间隔膜周部回声中断约<chmetcnv unitname="mm" sourcevalue="9" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"><span lang="EN-US">9mm</span></chmetcnv>。右壁面探及假性瘤组织回声，房间隔连续完整，各瓣膜形态结构及启闭运动正常。大动脉发育正常，主动脉弓降部未见异常。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">多普勒检查：收缩期室水平探及左向右高速分流信号<span lang="EN-US">V=<chmetcnv unitname="cm" sourcevalue="503" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on">503 cm</chmetcnv>/s</span>，<span lang="EN-US">PG=101mmHg</span>。。三尖瓣少量反流。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">检查所见：<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">先天性心脏病；室间隔缺损（膜周部）；室水平左向右分流；轻度肺动脉高压<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;"><p>&nbsp;</p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><personname wst="on" productid="陆"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">陆</span></personname><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">博士，请问：<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">1</span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">、室缺增大是随年龄增大还是测量偏差？<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312; mso-ascii-font-family: &quot;Times New Roman&quot;;">、</span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">肺动脉高压与以前相比是否增大？<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">3</span><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">、能否继续观察半年后到贵院复查还是现在就去诊断？<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_GB2312;">谢谢</span><span lang="EN-US" style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; mso-fareast-font-family: 仿宋_GB2312;"><p></p></span></p>

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 个人意见还是考虑手术治疗吧，近期的结果看来缺损并不小。

jslygsunyo

<p><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_;">陆</span><personname></personname><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_;">博士：</span></p><p><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_;">您好！</span></p><p><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_;">年后的床位会宽余一些吗？</span></p><p><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_;">陈树宝教授的特需门诊还亲自做彩超吗？</span></p><p><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 仿宋_;">谢谢！</span></p>