<P>医生您好!我女儿一岁半,诊断如下:</P>
% b& [$ v3 M' v0 E+ ]<P >超声心动报告</P>3 [9 a) L7 ]. k5 v( X" P
<P >主动脉:<FONT face="Times New Roman"> </FONT></P>; Q' C! j2 m& ?8 l6 {
<P >瓣结构<FONT face="Times New Roman"> </FONT>正常</P>! }& q1 P G$ G
<P >瓣环内径<FONT face="Times New Roman">10mm</FONT>,升主动脉径<FONT face="Times New Roman">9mm </FONT></P>7 N' Q3 q2 F3 N: p- z5 h/ x( w5 J2 B
<P >弓降部<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
, A2 C( {( z# ]4 }/ F<P >左房:<FONT face="Times New Roman"> </FONT></P>* V" M) x% i* J6 }
<P >前后径<FONT face="Times New Roman">15mm </FONT></P>! Z1 D( ?: N( `* G5 A; g0 ^& B2 A
<P >左房<FONT face="Times New Roman">/</FONT>主动脉<FONT face="Times New Roman"> 1.7</FONT></P>
m, {# K: b8 X% |- z# b<P >房间隔延续<FONT face="Times New Roman"> </FONT>中断<FONT face="Times New Roman"> </FONT></P>" e) Z$ c; u) @- l7 x8 @' T
<P >左心室:</P>
3 A" f1 X X% g M<P >室间隔延续<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>1 J# c+ T! t _6 H! ^9 k; w/ F2 f
<P >室间隔厚度<FONT face="Times New Roman"> 4mm</FONT></P>- [3 N. R1 g3 c' X0 m1 n8 o+ Z
<P >运动与后壁<FONT face="Times New Roman"> </FONT>反向<FONT face="Times New Roman"> </FONT></P>
t+ `; a' x- I" q0 Y, L1 r9 `<P >舒张末期前后径<FONT face="Times New Roman"> 25mm EF65% </FONT></P>
5 ~4 R: b, u+ B( J, q8 o<P >后壁厚度<FONT face="Times New Roman"> 4mm </FONT></P>
/ a9 j c) D+ X) f; ~) ~<P >心包<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
# E" `* u: O, B1 u# i8 f1 T) }<P >右心房径:<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
& Z/ V' W2 O4 ~2 d: B* x4 D<P >右心室前后径<FONT face="Times New Roman"> 11mm </FONT></P>5 E8 @) n$ c6 u7 N9 d0 e6 A* e
<P >肺动脉瓣结构:<FONT face="Times New Roman"> </FONT>正常<FONT face="Times New Roman"> </FONT></P>
: L$ b8 J! `0 {$ F5 [5 D<P >主肺动脉径:<FONT face="Times New Roman"> 11mm </FONT></P>
! N$ @& q: k' n/ q6 h6 g: h& ^<P >二尖瓣结构:正常<FONT face="Times New Roman"> </FONT></P>/ G1 j* ]7 M, w1 H5 K5 Y
<P >三尖瓣结构:正常<FONT face="Times New Roman"> </FONT></P>6 ]8 k- ~, B" F6 Q* q7 e
<P >多普勒超声:</P>
4 V- h' \- q8 Z1 y0 d. B: Q8 o<P >二尖瓣:舒张期:流速(<FONT face="Times New Roman">m/s</FONT>)<FONT face="Times New Roman">0.9 </FONT>压差(<FONT face="Times New Roman">mmhg</FONT>)<FONT face="Times New Roman">3.2 </FONT></P>1 U0 Y7 [$ p+ c3 ?( |2 P, D3 I
<P >三尖瓣<FONT face="Times New Roman">: </FONT>收缩期:流速(<FONT face="Times New Roman">m/s</FONT>)<FONT face="Times New Roman">2.5 </FONT>压差(<FONT face="Times New Roman">mmhg</FONT>)<FONT face="Times New Roman">25.0 </FONT></P>$ ~$ U) E9 B6 E4 @2 C
<P >舒张期:流速(<FONT face="Times New Roman">m/s</FONT>)<FONT face="Times New Roman">0.6 </FONT>压差(<FONT face="Times New Roman">mmhg</FONT>)<FONT face="Times New Roman">1.4 </FONT></P>
" k" E, R$ R' }7 h' Y( I; v/ x<P >主动脉瓣:收缩期:流速(<FONT face="Times New Roman">m/s</FONT>)<FONT face="Times New Roman">1.1 </FONT>压差(<FONT face="Times New Roman">mmhg</FONT>)<FONT face="Times New Roman">4.8 </FONT></P>
1 m5 U0 O" F2 b, P8 k<P >肺动脉瓣:收缩期:流速(<FONT face="Times New Roman">m/s</FONT>)<FONT face="Times New Roman">1.5 </FONT>压差(<FONT face="Times New Roman">mmhg</FONT>)<FONT face="Times New Roman">9.0 </FONT></P>; R( S; K' V. U2 H
<P >房水平:左向右<FONT face="Times New Roman"> </FONT>流速(<FONT face="Times New Roman">m/s</FONT>)<FONT face="Times New Roman">0.9 </FONT>压差(<FONT face="Times New Roman">mmhg</FONT>)<FONT face="Times New Roman">3.2 </FONT></P>5 H6 h1 Q- M- Z! ], \
<P >阳性所见:<FONT face="Times New Roman"> </FONT></P>3 \' L) j7 O, G, u
<P >右心房室扩大,左心内经正常;室间隔与左室后壁运动正常,收缩增厚率正常<FONT face="Times New Roman"> </FONT>。房间隔中部组织菲薄,向右房侧膨突,基底宽度约<FONT face="Times New Roman">8mm</FONT>,膨突部上端回声脱失约<FONT face="Times New Roman">4</FONT>×<FONT face="Times New Roman">6mm </FONT>;室间隔延续完整。三尖瓣瓣环扩大,瓣膜闭合稍欠佳。余瓣膜形态,结构,启闭正常。<FONT face="Times New Roman"> </FONT>大动脉关系及发育正常,主动脉弓降部正常。<FONT face="Times New Roman"> </FONT></P>) V/ n. v' @' a* e3 P# `& Y
<P >多普勒检查:</P>
2 y1 u1 T" g' U2 t: G<P ><FONT face="Times New Roman"> </FONT>房水平左向右分流,三尖瓣微少量返流,估算肺动脉收缩压约<FONT face="Times New Roman">35mmhg</FONT>。<FONT face="Times New Roman"> </FONT></P>
4 q; c0 q% u9 T+ T<P >诊断:</P>2 q! Q! J S5 D4 p! w) D
<P ><FONT face="Times New Roman"> </FONT>先天性心脏病<FONT face="Times New Roman"> </FONT>二孔型房间隔缺损(中央型)<FONT face="Times New Roman"> </FONT>房水平左向右分流<FONT face="Times New Roman"> </FONT>三尖瓣少量返流。<p></p></P> {1 l8 N) i8 n. X
<P> 请问医生,什莫时间手术较好?腋下侧切和介入哪一种较好?谢谢。</P> |