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<FONT color=#0000ff>" b+ } e3 L4 o" B$ Q z
<P ><p><FONT face="Times New Roman" color=#000000> 小儿在出生三天时检查说心脏有轻柔的杂音，分别于出生后45天、5个月去检查，彩超报告如下：</FONT></p></P>
3 e& p$ p j( [ w4 t5 B; g0 Y1 V<P ><p><FONT face="Times New Roman" color=#000000></FONT></p> </P>7 v; z; E, |- }* w
<P ><p></p> </P>; ]6 Z* k' e! ^0 B5 S1 e+ K
<P ><FONT color=#000000>性别：男 年龄：<FONT face="Times New Roman">45</FONT>天</FONT></P>
. r: M0 I% \4 K* a7 V h/ j Q<P ><FONT color=#000000>仪器型号：<FONT face="Times New Roman">philips sonos 5500 </FONT> 探头频率：<FONT face="Times New Roman">2-4MHZ</FONT>，<FONT face="Times New Roman">3-8MHZ</FONT> 检查途径：经胸 检查项目：二维、<FONT face="Times New Roman">M</FONT>型、彩色、多普勒 图像质量：<FONT face="Times New Roman">B</FONT></FONT></P>. e6 q0 z5 p% \; {
<P ><FONT color=#000000><FONT face="Times New Roman">M</FONT>型超声心动图（厘米）</FONT></P>
3 Q+ J( k$ Y' o3 j. o; E1 }<P ><FONT face="Times New Roman" color=#000000>LVDd 2.31 RVDd LVIVSd LVPWd 0.21 Ao 1.19</FONT></P>
" }9 t- T' r! O0 x<P ><FONT face="Times New Roman" color=#000000>LVDs 1.46 RVDs LVIVSs LVPWs 0.55 LA 1.31</FONT></P>9 m5 U* X4 a# c: R: U' d; i
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
: f Z- @8 E5 h/ s" E<P ><FONT color=#000000>心功能</FONT></P>: R( v; S8 D" P# Y; ]$ V! g
<P ><FONT color=#000000><FONT face="Times New Roman">LVEF</FONT> <FONT face="Times New Roman">69%</FONT> <FONT face="Times New Roman">LVFS</FONT> <FONT face="Times New Roman">37%</FONT></FONT></P>
9 U$ Q; z* ?+ p& Y$ k5 u<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>" t4 O _1 b0 W4 G
<P ><FONT color=#000000>二维超声（平方厘米）</FONT></P># a, Z- @0 b' J- u8 h
<P ><FONT color=#000000><FONT face="Times New Roman">LA</FONT> <FONT face="Times New Roman">LV</FONT> <FONT face="Times New Roman">RA</FONT> <FONT face="Times New Roman">RV</FONT> <FONT face="Times New Roman">MRA</FONT> <FONT face="Times New Roman">TRA</FONT> </FONT></P>
3 j) V+ @9 V N h<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
, F R# S7 b, I) X) r' Z5 m<P ><FONT color=#000000>频谱多普勒超声（米<FONT face="Times New Roman">/</FONT>秒）</FONT></P>9 h4 L ~. x8 I) v6 T8 U( q
<P ><FONT face="Times New Roman" color=#000000>AAo 1.0 DAo 1.6 LVOT RVOT MPA 1.2</FONT></P>8 J+ \0 U( ^ R* @$ s5 B% A
<P ><FONT color=#000000><FONT face="Times New Roman">MV 0.8 TV0.6 </FONT>跨瓣压差 <FONT face="Times New Roman">mmHg</FONT></FONT></P>
. ?1 S$ K0 D' P7 |<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
) t7 D3 K# e1 [: [% p) @' Q<P ><FONT color=#000000>彩色多普勒超声</FONT></P>2 K8 [$ {% b: i- H: J' ?7 Q* z
<P ><FONT color=#000000><FONT face="Times New Roman">MR</FONT> 阴性 <FONT face="Times New Roman">AI</FONT> 阴性 <FONT face="Times New Roman">TR</FONT> 轻微<FONT face="Times New Roman">2.2m/s </FONT> <FONT face="Times New Roman">PI</FONT> 轻微</FONT></P>
- e2 C) [7 x* G. @7 X<P ><FONT color=#000000>心房水平左向右分流 心室水平无分流 大动脉水平左向右分流</FONT></P>
1 g1 K- c: B. @! m4 X" d# n& f1 B9 r, p) H<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
' Q' f h9 ^3 y: ^ O7 H<P ><FONT color=#000000>超声所见</FONT></P>
" \/ D4 Y; x7 }<P ><FONT color=#000000>心脏位置及连接正常，房室腔无扩大，左室收缩活动可。主动脉、肺动脉无增宽。各瓣膜开放活动正常。卵圆孔未闭，细束左向右分流。室间隔完整。左位主动脉弓。动脉导管未闭，细丝左向右分流，二维显示不清。</FONT></P>
% K$ x5 K" E2 I0 k, y- E<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>) r* b3 l& z$ f0 R7 k' B
<P ><FONT color=#000000>提示</FONT></P>! z% @) q0 X( Y$ ~ P. y
<P ><FONT color=#000000>卵园孔未闭</FONT></P>
1 C; m- G. h1 j' K' T<P ><FONT color=#000000>动脉导管未闭（小）</FONT></P>
8 V6 N4 ]* R# C: y _( q<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>3 @' v9 z1 `) X8 M2 V/ `
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>" `/ V r# I: f. j- y8 R" }$ m
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>: n! t* }$ h& z
<P ><FONT color=#000000><FONT face="Times New Roman">5</FONT>个月后检查结果如下，检查时有轻微咳嗽</FONT></P>4 e5 `/ N" x( M, {( d
<P ><FONT color=#000000>性别：男 年龄：<FONT face="Times New Roman">5</FONT>个月</FONT></P> c2 l1 t7 i8 S' o; ]9 z
<P ><FONT color=#000000>仪器型号：<FONT face="Times New Roman">philips sonos 5500 </FONT> 探头频率：<FONT face="Times New Roman">2-4MHZ</FONT>，<FONT face="Times New Roman">3-8MHZ</FONT> 检查途径：经胸 检查项目：二维、<FONT face="Times New Roman">M</FONT>型、彩色、多普勒 图像质量：<FONT face="Times New Roman">B</FONT></FONT></P>
& d6 ?, x: B3 x' I p; R5 p' t5 m! Y' }<P ><FONT color=#000000><FONT face="Times New Roman">M</FONT>型超声心动图（厘米）</FONT></P>
# n9 L: C; g* W$ Z) \! ^<P ><FONT face="Times New Roman" color=#000000>LVDd 2.35 RVDd LVIVSd LVPWd 0.32 Ao 1.34</FONT></P>+ `0 I" G9 Z( I& V+ ~0 D
<P ><FONT face="Times New Roman" color=#000000>LVDs 1.41 RVDs LVIVSs LVPWs 0.57 LA 1.41</FONT></P>/ a0 p1 m! ^# ]0 w" F8 J; E2 E
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>/ c' ~# |: W) y/ K" }& H! _
<P ><FONT color=#000000>心功能</FONT></P>
: ~8 E4 U& s+ Q9 C% p; y<P ><FONT color=#000000><FONT face="Times New Roman">LVEF</FONT> <FONT face="Times New Roman">73%</FONT> <FONT face="Times New Roman">LVFS</FONT> <FONT face="Times New Roman">40%</FONT></FONT></P>( G% R7 P( w" G6 o
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>" u. v" s2 Q8 F( r' I* m" g
<P ><FONT color=#000000>二维超声（平方厘米）</FONT></P>
" {( R( h& t( J<P ><FONT color=#000000><FONT face="Times New Roman">LA</FONT> <FONT face="Times New Roman">LV</FONT> <FONT face="Times New Roman">RA</FONT> <FONT face="Times New Roman">RV</FONT> <FONT face="Times New Roman">MRA</FONT> <FONT face="Times New Roman">TRA</FONT> </FONT></P>
4 V) l- I `9 \1 F<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
/ n9 c( D8 A0 j8 e% @. n<P ><FONT color=#000000>频谱多普勒超声（米<FONT face="Times New Roman">/</FONT>秒）</FONT></P>
* g0 U" g# \+ [+ T$ Q, s. H<P ><FONT face="Times New Roman" color=#000000>AAo 1.1 DAo 1.2 LVOT RVOT MPA 1.6</FONT></P>$ q3 v3 X% l4 C0 e) w+ ~% A2 H: k
<P ><FONT color=#000000><FONT face="Times New Roman">MV 0.9 TV0.6 </FONT>跨瓣压差 <FONT face="Times New Roman">mmHg</FONT></FONT></P>
4 z; s# n7 e# v$ W6 D- N* y<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>* B" k5 c# |1 A, D3 ?
<P ><FONT color=#000000>彩色多普勒超声</FONT></P>
5 L0 ~. L; @7 p+ h5 U' ?- p<P ><FONT color=#000000><FONT face="Times New Roman">MR</FONT> 阴性 <FONT face="Times New Roman">AI</FONT> 阴性 <FONT face="Times New Roman">TR</FONT> 轻微 <FONT face="Times New Roman">PI</FONT> 轻微</FONT></P>7 ~) n z6 p4 l' I3 G. f# y
<P ><FONT color=#000000>心房水平无分流 心室水平无分流 大动脉水平左向右分流 分流<FONT face="Times New Roman">2.5m/s</FONT></FONT></P> G J- c( o/ x
<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>5 ] Y) p9 g- i
<P ><FONT color=#000000>超声所见</FONT></P>
1 t; ^' n0 w9 u6 i<P ><FONT color=#000000>心脏位置及连接正常。各房室腔无明显增大，左室收缩活动可。主动脉无增宽。肺动脉稍增宽，肺动脉总干流速<FONT face="Times New Roman">1.6m/s</FONT>，左肺动脉流速<FONT face="Times New Roman">1.2m/s</FONT>。各瓣膜开放活动可。房间隔未见明显缺损，心房水平无明显分流。室间隔完整。动脉导管二维直接征象不明显，彩色多普勒超声显示左肺动脉起始处舒张期细束左向右分流，分流速<FONT face="Times New Roman">2.5m/s</FONT>。左位主动脉弓。</FONT></P>
' l2 @# a" e. C7 z4 o4 t+ l5 y<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>* F7 _' K: w9 k! c2 D: S
<P ><FONT color=#000000>提示</FONT></P>
$ J( _3 u9 t. Y6 k3 G<P ><FONT color=#000000>动脉导管未闭（细束分流）</FONT></P>7 m" f% W+ Z+ b: F
<P ><FONT color=#000000>右肺动脉流速稍增快<FONT face="Times New Roman">2.0m/s</FONT></FONT></P>
3 T7 c' W/ _7 e/ X4 i' m<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
- m2 q- ^# N* J+ S- a; l) g<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
K& R" p( i& F% U- c9 b+ H* p3 y<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>
: M- i0 t x& }' h( |% C/ g+ z% E<P ><FONT color=#000000>医生建议半年以后复查。我想请教专家的是：轻微的咳嗽是否会引起肺动脉的增宽？从这两份检查的报告来看，动脉导管能否自愈？自愈的时间是一周岁以前还是六个月以前？<FONT face="Times New Roman"> </FONT></FONT></P>
$ V9 f9 x$ z- h( ~2 V! l+ d" r<P ><p><FONT face="Times New Roman" color=#000000> </FONT></p></P>2 P, x* L' c# b% `& ^7 k2 C" f- k$ p
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发表于 2005-9-24 20:26:40
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