<P>男婴,<FONT face="Times New Roman">40</FONT>天。出生体重<FONT face="Times New Roman">3750</FONT>克<FONT face="Times New Roman">,</FONT>目前约<FONT face="Times New Roman">5000</FONT>克。
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<P><FONT face="Times New Roman">M</FONT>型测值:主动脉根部内径:<FONT face="Times New Roman">13 </FONT>左房内径:<FONT face="Times New Roman">25</FONT>。<FONT face="Times New Roman">6 </FONT>左室内径(<FONT face="Times New Roman">ED</FONT>):<FONT face="Times New Roman">28</FONT>。<FONT face="Times New Roman">1 ( n4 O! G* Q, Y7 ?
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7 I: L8 T" c. k3 w! i6 c<P><FONT face="Times New Roman"> </FONT>左室内径(<FONT face="Times New Roman">ES</FONT>):<FONT face="Times New Roman">19</FONT>。<FONT face="Times New Roman">1 </FONT>左室间隔厚度:<FONT face="Times New Roman">3</FONT>。<FONT face="Times New Roman">7 </FONT>左室后壁厚度:<FONT face="Times New Roman">3</FONT>。<FONT face="Times New Roman">7
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<P><FONT face="Times New Roman"> EPSS</FONT>:6.2<FONT face="Times New Roman"> </FONT>左室射血分数:<FONT face="Times New Roman">62 </FONT>%<FONT face="Times New Roman"> </FONT>左室内径缩短分数:<FONT face="Times New Roman">32</FONT>%
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<P>描述:<FONT face="Times New Roman">1</FONT>。左房、左室增大,右室肥大,右房大小正常9 Z; p2 z2 m/ h( E. ^. D
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<P><FONT face="Times New Roman"> 2</FONT>.室间隔、左室后壁未见增厚。两者逆向运动,未见节段性运动异常。
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<P><FONT face="Times New Roman"> 3</FONT>.主动脉根部短轴切面<FONT face="Times New Roman">9</FONT>点至<FONT face="Times New Roman">12</FONT>点处室间隔连续性中断,宽约<FONT face="Times New Roman">12mm,,</FONT>,见左向右为主的双向分流,左至右最大速度1<FONT face="Times New Roman">.</FONT>0<FONT face="Times New Roman">m/s</FONT>,$ T. U2 D: ~5 K+ C( a7 v
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% w+ M6 N- d4 d) z; I# q' B$ n<P>PPG3<FONT face="Times New Roman">.</FONT>9<FONT face="Times New Roman">mmHg</FONT>,右至左0<FONT face="Times New Roman">.</FONT>59<FONT face="Times New Roman">m/s,</FONT>PPG1<FONT face="Times New Roman">.</FONT>4<FONT face="Times New Roman">mmHg
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<P><FONT face="Times New Roman"> </FONT>4.肺动脉增宽,内径14<FONT face="Times New Roman">mm</FONT>,肺动脉瓣纤细柔软,启闭好,瓣上收缩期最大速度2<FONT face="Times New Roman">.</FONT>1<FONT face="Times New Roman">m/s7 E' H( Z* U" m4 x0 j
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<P> 5.主动脉瓣纤细,柔软,启闭好。$ L$ q+ W( U2 D! [% c* |
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+ M2 L/ d" {: a<P> 6二、三尖瓣纤细,柔软,启闭好。
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w9 Y( f8 e; `' _) P! B: I<P> 7.房间隔中上部连续中断,宽约2<FONT face="Times New Roman">.</FONT>1<FONT face="Times New Roman">mm</FONT>,见左向右分流.5 b( E0 p# F" M
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+ s& U2 o# F6 b; r& p<P> 8.左室收缩功能正常.
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<P> 9.右室流出道偏窄,最窄处2<FONT face="Times New Roman">.</FONT>8<FONT face="Times New Roman">mm</FONT>,此处见异常肥厚肌索.
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# M$ u Y" J T# d5 c7 e1 c' k0 d<P>诊断:先心
Z" [ ^$ g' E6 U7 g* N<P><FONT face="Times New Roman"><FONT face=Arial> </FONT>1.VSD(</FONT>膜周部<FONT face="Times New Roman">,</FONT>宽<FONT face="Times New Roman">12mm)/ c- o% e6 I5 w8 o. ?; }: @
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+ [ u; K8 H9 g<P><FONT face="Times New Roman"> 2.</FONT>右室流出道狭窄
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<P><FONT face="Times New Roman"> 3.ASD(</FONT>继发孔<FONT face="Times New Roman">,</FONT>宽约<FONT face="Times New Roman">2.1mm)" ^* u4 X$ j0 R& D3 h0 w
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<P><FONT face="Times New Roman"> 4.</FONT>左房、左室增大,右室肥大。
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- @2 H) y' y; y' a, W" z9 [: {<P> 5.左室收缩功能正常
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