<P >右室<FONT face="Times New Roman"> </FONT>流出道；<FONT face="Times New Roman">29MM </FONT>舒张径；<FONT face="Times New Roman">23MM</FONT></P>% a/ _+ D& u) m5 W
<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>
) \9 e1 p9 o, I/ S7 G<P >左室<FONT face="Times New Roman"> </FONT>收缩末期<FONT face="Times New Roman"> 22mm </FONT>舒张末期<FONT face="Times New Roman">31mm </FONT>后壁厚度<FONT face="Times New Roman">5mm</FONT></P>2 @; s2 v7 u/ U$ V5 I2 ]- V
<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>
. p; \4 `/ Z, Z7 ]" }: T* a<P >主动脉<FONT face="Times New Roman">17mm</FONT></P>* \) d& B7 R; V
<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P>
1 }0 G* s! Y/ z6 \6 p* n" ?<P ><FONT face="Times New Roman"> <p></p></FONT></P>6 D& r, i/ u9 d3 z+ X
<P >左心功能<p></p></P>
7 V) S0 x4 w# w<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P>( z" ]0 l. F0 a4 [! { A$ M
<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P> L2 T( v& E% {$ q0 u
<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P> X ]" u/ T$ d+ Y# @& a" S
<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>: G2 @* I4 w- [3 O
<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>: F' \5 m/ h/ o( H! n [! q
<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>
- e9 n# ^. h. z<P >心率（<FONT face="Times New Roman">HR</FONT>）<FONT face="Times New Roman"> 113</FONT>次<FONT face="Times New Roman">/</FONT>分</P>9 A8 o5 t1 x; t4 O' k& u2 u
<P ><FONT face="Times New Roman"> <p></p></FONT></P>) m6 }& ]3 W3 P: k0 ~
<P >彩色多谱勒血流<p></p></P>
6 Y0 ?9 l- g) b) p6 M- P3 _; C( N<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>8 k) @7 Z9 ^/ g$ u1 `
<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>. {5 Q ?. J% m# y* A) I( D- r& w0 i
<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>7 F: L& d& W# T+ _1 A- E
<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>
: I7 Q8 n# V# t9 `& a<P >返流<p></p></P>
& F) K- a5 {5 w9 z2 w1 w$ f4 a<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>5 B, x! M5 X0 ?! R5 x' c
<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P>& S' A6 E' d! l: \1 t) W
<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
3 D9 M: F3 O' ^( U& L* @<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
+ V: ^" P& i0 G6 I! L" w7 O& T+ y<P ><FONT face="Times New Roman"> <p></p></FONT></P>
7 W* ]1 w* u4 G- L5 O<P >分析</P>
! i$ ?* ]6 |* Y P, y<P >心房正位<FONT face="Times New Roman"> </FONT>心室右（柈<FONT face="Times New Roman"> </FONT>）大血管位置正常<p></p></P>& p) R+ \1 @1 ^+ O. c8 \$ Q
<P >右心扩大<FONT face="Times New Roman"> </FONT>肺动脉（坢）塞<FONT face="Times New Roman"> </FONT>心尖四腔切面，见左上下肺静脉汇入左房，右上肺静脉显示不满意未汇入左房，冠状静脉窄扩张<FONT face="Times New Roman">0.9 cm</FONT>，室间隔连续良好，各瓣膜浮动形态正常，室壁厚度正常，右室壁主动增强</P>
- x; _5 |, U" ~$ \5 `) _, |<P ><FONT face="Times New Roman">CDF2</FONT>，<FONT face="Times New Roman">CW</FONT>，<FONT face="Times New Roman">PW</FONT>：心尖五腔房间隔顶部上<FONT face="Times New Roman">C-R</FONT>红色穿隔血流束，流束宽<FONT face="Times New Roman">0.9 cm</FONT>，<FONT face="Times New Roman">V=139 cm/s</FONT></P>4 h9 ]2 i$ z+ v* s& T& a& I' B
<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>
* [$ s- N4 a4 { x4 I* U<P ><B >超生诊断<p></p></B></P>
0 E' K E1 m6 ?( x& j+ D/ R6 s<P >先心病</P>& H0 _' y) l& D# I
<P >右心扩大</P>
/ Z1 D1 H8 y) u, i<P >部分肺静脉异位分流可能性大</P>0 K$ `; l* t+ V
<P >上腔型房间隔缺损不除外</P>$ Z7 Q4 Y- w* x7 b! u5 f# X: Y
<P >冠状静脉（窦）扩张</P>' z* {" H# F9 U4 S6 P- _+ @
<P >三尖瓣反流</P>2 ?# n+ w7 ~0 K0 \' {" N
<P >建议进一步检查</P>. C, R6 x/ U, c6 q
<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>
L& U; H4 C: g+ W* O9 B% {<P ><FONT face="Times New Roman"></FONT> </P>8 u6 V+ g2 c3 i A
<P ><FONT face="Times New Roman">请医生和大家帮帮忙看看我儿子房缺0.5cm+肺静脉异位+三尖瓣反流，三种情况严重吗，手术是不是比较复杂，可不可以做介入？儿子体重35，身高1.05，体质好，不常感冒</FONT></P>
7 Q/ H) N7 Y! w# r6 T# {<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
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发表于 2006-2-20 07:47:16
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发表于 2006-2-21 03:08:06
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