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<P ><FONT face="Times New Roman"> <p></p></FONT></P>3 Y0 U; P4 J1 d' J
<P align=center><B>彩色多普勒超声心动图报告</B><B><p></p></B></P>
& y. r' y* z" M( p! W<P ><FONT face="Times New Roman"> <p></p></FONT></P>' m4 V; M& l9 \9 B& x @! a
<P ><FONT face="Times New Roman"><p></p></FONT></P>
7 Z% G! d! A( J& V) q) {<TABLE cellSpacing=0 cellPadding=0 width="100%" border=1>
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& D1 m0 s: F2 [" T9 \0 ?' j<TR > H9 B R# K e
<TD vAlign=top width="57%" colSpan=3>
9 \# g6 h) a. S% N0 R/ S v7 X<P align=center>主要测值<FONT face="Times New Roman">(mm):</FONT></P></TD>+ s# p3 D+ O# k( ~$ @; i
<TD vAlign=top width="42%" colSpan=3>
$ _ ]' G/ ^3 P- J3 }<P align=center>血液动力学测值<FONT face="Times New Roman">:</FONT></P></TD>" e. J+ k) B. Z7 Z3 Y+ G0 c
<TD width=0%>2 o5 p6 e) d2 E% H% P. N
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
7 M+ I% T7 D% x* G' G( h4 G<TR>: v' c/ h+ R X7 m' c4 p
<TD vAlign=top width="29%">
7 ?! F$ [9 u- H# s<P >主动脉根部内径</P></TD>
1 W: b! V. J* \6 f7 I2 c9 z<TD vAlign=top width="7%">8 o% H& ?" F a# m) \1 g/ L
<P ><FONT face="Times New Roman">8.6</FONT></P></TD>
9 F0 b. v1 p& r* m<TD vAlign=top width="20%">
% N8 W3 u; L5 d( o- n( X<P >主肺动脉内径</P></TD>2 w" R* J7 E6 @
<TD vAlign=top width="7%">
+ a4 W/ F/ l9 m" A<P ><FONT face="Times New Roman">12</FONT></P></TD>
* \& H4 g0 X7 B1 |5 I<TD vAlign=top width="28%">
! j& k0 m" i7 V e- U8 ^4 B. G0 m<P >二尖瓣<FONT face="Times New Roman">E</FONT>峰流速<FONT face="Times New Roman">(m/s)</FONT></P></TD>) K+ c1 z1 c2 }- X( @
<TD vAlign=top width="6%" colSpan=2>* I7 ?7 e1 }' g# M7 S
<P ><FONT face="Times New Roman">1.11</FONT></P></TD></TR>
U t- i$ |2 x+ X<TR>' B& n9 H- s1 l/ g3 Q
<TD vAlign=top width="29%"> G) r7 ]! ], ?2 E: w- e: ]
<P >主动脉流速<FONT face="Times New Roman">(m/s)</FONT></P></TD>
- K) l5 w4 r2 _0 |0 [<TD vAlign=top width="7%">
2 Z! l$ R4 M$ \/ \; d<P ><FONT face="Times New Roman">0.75</FONT></P></TD>
" `# R% L: {* @5 d7 A7 j; s<TD vAlign=top width="20%">
" V: @/ }8 D1 |" e4 v0 h% i<P >肺动脉流速<FONT face="Times New Roman">(m/s)</FONT></P></TD>( Z0 O) y4 C. _/ a6 N8 }. j
<TD vAlign=top width="7%">
! b; E& N9 s5 P" K; y4 ]' ^ h3 N<P ><FONT face="Times New Roman">1.4</FONT></P></TD>
; u+ f9 l1 ?8 m& v( S<TD vAlign=top width="28%">9 _6 J. I( }0 e7 {0 F6 ^5 k1 Y
<P >二尖瓣<FONT face="Times New Roman">A</FONT>峰流速<FONT face="Times New Roman">(m/s)</FONT></P></TD>
$ k! t$ R/ f* W x3 e9 Z<TD vAlign=top width="6%" colSpan=2>$ E7 M$ Q3 k# R) U: ?$ o) P
<P ><FONT face="Times New Roman">1</FONT></P></TD></TR>
: a% R2 m f% q' w2 ?5 n* N4 n' e<TR># y4 Z' S# r, }6 J8 m, X$ }4 V5 ^
<TD vAlign=top width="29%">( l5 p+ b! j: o& E+ e5 J
<P >左房内径</P></TD>
. X8 V7 B* Y# G' L) I1 G<TD vAlign=top width="7%">
. O9 i5 l9 Z% Q9 B* x1 V! ~8 x<P ><FONT face="Times New Roman">12</FONT></P></TD>& h' [- G) [% @
<TD vAlign=top width="20%">
, n$ r4 G. m9 s8 V* F6 q<P >左肺动脉内径</P></TD>6 R* x8 \- N z% v" f k+ ~
<TD vAlign=top width="7%">
0 o! @: U0 f" C/ }$ F: d+ v! R: c A<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD> E5 K+ b2 B0 t0 u
<TD vAlign=top width="28%">' C% H% X) j" Q0 y
<P >三尖瓣<FONT face="Times New Roman">E</FONT>峰流速<FONT face="Times New Roman">(m/s)</FONT></P></TD>
, C0 k9 U- H4 o0 n<TD vAlign=top width="6%" colSpan=2>( V N9 @' ^" n) q1 R/ E3 }
<P ><FONT face="Times New Roman">0.55</FONT></P></TD></TR>
, \! m- D3 g7 x* e<TR>% M |5 t- Y5 D. a
<TD vAlign=top width="29%">+ I; k$ V! H. Y
<P >左室舒张末期内径</P></TD>8 ]* l+ B2 u3 p" z
<TD vAlign=top width="7%">
" o/ L+ U, J+ H+ P7 W2 Y1 o<P ><FONT face="Times New Roman">21</FONT></P></TD>& Q, \# u( V$ r
<TD vAlign=top width="20%">7 @+ L$ ?) w' t' d
<P >右肺动脉内径</P></TD>/ Z5 g/ Z9 _: u8 N8 F
<TD vAlign=top width="7%">
6 _1 \: u4 |8 u/ S5 u3 \0 f: H<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
) u( Z3 d0 N+ N6 g) w- q$ |<TD vAlign=top width="28%">2 ~9 W, K0 \ U6 V4 Q! O
<P >三尖瓣<FONT face="Times New Roman">A</FONT>峰流速<FONT face="Times New Roman">(m/s)</FONT></P></TD>
, ?& m: u+ N* e. b3 q/ w G<TD vAlign=top width="6%" colSpan=2>0 Y; S: x# {8 y
<P ><FONT face="Times New Roman">0.94</FONT></P></TD></TR>
& K# l9 J( p m3 @; m<TR>
$ q8 W6 ^# X' ^$ w2 H) E$ T- Y<TD vAlign=top width="29%">
+ l: y' R# b( ~. l. F8 y<P >左室收缩末期内径</P></TD>! V x' N1 r5 C. ~, c( b x
<TD vAlign=top width="7%">
! r$ d5 G2 K. |$ N2 F<P ><FONT face="Times New Roman">12</FONT></P></TD>: ~3 M5 A/ `# ^9 ~' F G6 k
<TD vAlign=top width="20%">8 Z1 P9 a& l0 `; `, [, R4 {
<P >左冠状动脉内径</P></TD>8 i8 ^2 Z- {3 R p( f+ J z+ u
<TD vAlign=top width="7%">
% n S1 @! `2 J- |<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
5 g& {: b* \! \5 m! l$ ]4 k<TD vAlign=top width="28%">: a+ f( R& n3 u, ?/ s* k; G! b
<P >左室短轴缩短率<FONT face="Times New Roman">(%)</FONT></P></TD>
; F% @; i' I9 t3 I. B<TD vAlign=top width="6%" colSpan=2>
. X; O( }7 _2 C/ F<P ><FONT face="Times New Roman">44.1</FONT></P></TD></TR>5 S$ ?1 |: s" U1 X5 B5 f- O L" b
<TR>, N8 @7 }" W# s. Q9 Q
<TD vAlign=top width="29%">( g0 s4 v$ |1 v$ [1 \, w+ ]
<P >室间隔厚度</P></TD>
1 T# D3 a( }7 J0 I, `- r& G, L<TD vAlign=top width="7%">$ V" P" d3 l; V9 i. q# \+ [& H3 A& {" A
<P ><FONT face="Times New Roman">2.8</FONT></P></TD>/ R- H4 d% \1 P! \
<TD vAlign=top width="20%">" k' ~7 l Q$ i- G( _5 O0 I
<P >右冠状动脉内径</P></TD>
+ P4 w6 a* }2 j. H( Z; t<TD vAlign=top width="7%">3 o+ Y0 T* V+ m# J! ~, n+ q, g/ ^- V" B
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>. O& s- a- v. O
<TD vAlign=top width="28%">. L2 K: ^4 K+ J1 t6 ] ?! }
<P >左室射血分数<FONT face="Times New Roman">(%)</FONT></P></TD>
7 A; w' c# h& H7 x3 f5 M<TD vAlign=top width="6%" colSpan=2>
: W" _1 a; V' B/ k9 v4 q' ]' \<P ><FONT face="Times New Roman">77.9</FONT></P></TD></TR>+ F/ K& T+ u" g1 E' d% J
<TR># \, Y b @% Y9 V% |6 S
<TD vAlign=top width="29%">* t2 w5 a$ T2 }" x9 B
<P >左室后壁舒张末期厚度</P></TD>& T& G! W/ O8 A; [5 u# q
<TD vAlign=top width="7%">
# D g3 k% z1 n+ i1 f<P ><FONT face="Times New Roman">2.1</FONT></P></TD>
# W2 w8 n$ m2 a" g. K<TD vAlign=top width="20%">: }& Y @% S% ?) W1 e5 G
<P >心率</P></TD>9 m1 e# ~6 w0 [, q# p
<TD vAlign=top width="7%">
( s* [9 Q- b) T<P ><FONT face="Times New Roman">150</FONT></P></TD>
N4 L' W) p* _% y8 [+ q% V<TD vAlign=top width="28%"># ^7 _ F) d j, ] B
<P >左室舒张末期容量<FONT face="Times New Roman">(ml)</FONT></P></TD>
- O8 m: j- a l<TD vAlign=top width="6%" colSpan=2>
0 L& j7 e' H/ A6 U% y3 ?<P ><FONT face="Times New Roman">14.1</FONT></P></TD></TR>
8 a* a' M( n4 c4 A9 u2 s6 i; r<TR>
0 e' A8 O1 l" O0 X+ t0 P- q5 k<TD vAlign=top width="29%">
+ a+ N& B: x- m3 D/ j<P >左室后壁收缩末期厚度</P></TD>1 `6 e6 |' y# y: O
<TD vAlign=top width="7%">
2 ~4 f6 Q- o% q7 {<P ><FONT face="Times New Roman">4.2</FONT></P></TD>
) o& ?1 R, D2 H0 {' Z2 _3 w: e<TD vAlign=top width="20%">
( l$ ~ i0 l1 q6 r0 T: J<P ><FONT face="Times New Roman">R-R</FONT>间期</P></TD>
- f: H7 f/ O* D5 x<TD vAlign=top width="7%">
C2 r9 c( o, @" g. e0 K<P ><FONT face="Times New Roman">0.4</FONT></P></TD> j9 H9 y% i. H( g" L1 \# a0 M
<TD vAlign=top width="28%">4 k2 J8 s2 k" D3 H0 s
<P >右室收缩末期容量<FONT face="Times New Roman">(ml)</FONT></P></TD>
/ ~% V: B- O8 J/ V: G, f5 I<TD vAlign=top width="6%" colSpan=2>! N. k% A ^3 w3 b
<P ><FONT face="Times New Roman">3.11</FONT></P></TD></TR>7 H) Y x1 n6 h" r
<TR>9 l, F- M& ?3 ~7 A* T4 o B
<TD vAlign=top width="29%">/ I. q- ?4 ?% y7 F5 \+ n. q
<P >右室流出道内径</P></TD>6 c8 \2 M: ~9 ~% o( S0 Q9 A, l
<TD vAlign=top width="7%">1 k' Q w5 T- J" E, E
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
+ ]( w5 B3 |; \( b6 |# v! P0 H<TD vAlign=top width="20%">! P- B! L+ ]' [
<P >右室内径</P></TD>8 l. G; ^1 T- \9 K
<TD vAlign=top width="7%">4 E" M# @0 E+ f; K
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>; K% Q; \: R% G# n& W+ H4 h2 L0 H( w
<TD vAlign=top width="28%">$ G, Q; f( A' J1 d& s# M; G
<P >每搏出量<FONT face="Times New Roman">(ml)</FONT></P></TD>/ m! n" _$ q* t9 N
<TD vAlign=top width="6%" colSpan=2>/ z# g2 X. X) E, O
<P ><FONT face="Times New Roman">11</FONT></P></TD></TR>7 Q6 s: u' t5 _* P& q
<TR>
5 X' Q, ^' Y9 v6 q$ D/ R* w<TD vAlign=top width="29%">
/ V* M- [% V/ ?<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>' ^ A( F5 g9 u; m
<TD vAlign=top width="7%">* i, ~! K$ C+ F% x. B: n( @
<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
0 [6 i9 n$ V5 E* u- m, T<TD vAlign=top width="20%">
# v! O1 m: V5 R+ R# n) v<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>
7 C" V' m/ r* C/ Y4 q, Q! Q7 A<TD vAlign=top width="7%">
) ` \# L0 G' _8 e<P ><FONT face="Times New Roman"> <p></p></FONT></P></TD>. ] s2 Q( y4 _$ [
<TD vAlign=top width="28%">
2 H x' q) x% W<P >心输出量<FONT face="Times New Roman">(L/</FONT>分<FONT face="Times New Roman">)</FONT></P></TD>
8 H* ^+ z7 z; }' ^- c4 _<TD vAlign=top width="6%" colSpan=2>0 j: \! e6 C+ S2 {& _( r8 U
<P ><FONT face="Times New Roman">1.65</FONT></P></TD></TR>& y# }/ l' Q1 z J% ]: F& D$ ]
<TR height=0>7 E# v; N. z2 N. C% ^
<TD width=168><FONT face="Times New Roman"></FONT></TD> E8 P/ E( F2 x$ C! W5 y z
<TD width=42><FONT face="Times New Roman"></FONT></TD>
9 |* I' ^% l1 P, g& j<TD width=119><FONT face="Times New Roman"></FONT></TD>$ u' m% w, V% U2 F) z
<TD width=42><FONT face="Times New Roman"></FONT></TD>
: C' C9 y8 s9 j$ Z<TD width=167><FONT face="Times New Roman"></FONT></TD>
. o( I8 M3 V/ Q' I<TD width=36><FONT face="Times New Roman"></FONT></TD>
8 x8 G9 {# d8 N9 S2 d' V: K<TD width=3><FONT face="Times New Roman"></FONT></TD></TR></TABLE>
9 X1 l& v; r2 p0 l<P ><FONT face="Times New Roman"> <p></p></FONT></P>
$ C6 d) k" D* G( |/ c<P >超声表现<FONT face="Times New Roman">: (</FONT>透声条件<FONT face="Times New Roman">: </FONT>中<FONT face="Times New Roman">)</FONT></P>
; u- s+ O- c8 c& M. R& h; V<P ><FONT face="Times New Roman"> <p></p></FONT></P>, `, J! h* @3 Y2 X/ V8 X1 p
<P ><FONT face="Times New Roman">1. </FONT>心脏位置及大血管连接关系正常。<FONT face="Times New Roman"> </FONT>左位主动脉弓。</P>
0 C0 A! @- U0 m: a) f<P ><FONT face="Times New Roman">2. </FONT>左房、左室内径增大，余房室内径尚属正常范围。</P>( X$ {8 @ h* `* K* {1 d! e( T
<P ><FONT face="Times New Roman">3. </FONT>室间隔于膜周部延及主动脉瓣下回声失落<FONT face="Times New Roman">5mm</FONT>，周围少量膜样组织包绕，</P>
. w' a; Z1 z" @: U. {3 A( b<P ><FONT face="Times New Roman">CFM</FONT>探及收缩期左向右分流讯号，<FONT face="Times New Roman">CW</FONT>估测跨隔压差<FONT face="Times New Roman">9.5mmHg</FONT>。</P>* O! e6 T/ K. W: _% q% N( S# K
<P ><FONT face="Times New Roman">4. </FONT>房间隔第一纵隔和第二纵隔尚未融合，<FONT face="Times New Roman">CFM</FONT>示小股左向右分流，分流束宽度<FONT face="Times New Roman">2.8mm</FONT>。</P>
+ Y W* j- S' C/ p, w: K<P ><FONT face="Times New Roman">5. </FONT>肺动脉内径增宽，肺动脉瓣形态活动无特殊，<FONT face="Times New Roman">PDE</FONT>测肺动脉瓣口流速<FONT face="Times New Roman">1.4m/s</FONT>层流频谱。</P>, Q) { B! V- ?: Z0 [# ?" Y6 G
<P ><FONT face="Times New Roman">6. </FONT>二、三尖瓣形态活动可，多普勒在三尖瓣上游探及轻度返流。</P>
: N. Z7 }) K7 V% d5 p<P ><FONT face="Times New Roman">7. </FONT>心功能检测未见明显异常。</P>1 ~2 i: G( A1 \! o
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
) ~- b0 x1 `2 S! K<P ><FONT face="Times New Roman"> <p></p></FONT></P>
# U: F# ?5 p! ^0 P<P >诊断：</P>
6 X0 z3 W! C; r0 t<P ><FONT face="Times New Roman">1． </FONT>室间隔缺损（膜周部延及主动脉瓣下）</P>
- n; L! X- C2 b1 [8 j: y# U<P ><FONT face="Times New Roman">2． </FONT>卵圆孔未闭。</P> |
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