病在儿身，急在娘心

dalianmao

<P >我儿是<FONT face="Times New Roman">2005</FONT>年<FONT face="Times New Roman">4</FONT>月<FONT face="Times New Roman">8</FONT>日出生的，小儿出生<FONT face="Times New Roman">13</FONT>后发现他嘴唇发绀，去医院做了心脏透视、心脏彩超。两种检查的数据和结论如下：</P>
. O1 c" V+ o4 ~$ g/ Z<P >胸部透视为正侧位片</P>
<P >结论：两肺清晰，心脏形态大小尚属正常范围，叻嗝角锐利。</P>
4 o* u% J: |/ y: B7 X1 x6 r<P >两胸廓对称。必要时追查。</P>
<P >心脏彩超数据：</P>
. I# p) a: f; v* I  u4 f' n<P ><FONT face="Times New Roman">B</FONT>超（单位<FONT face="Times New Roman">mm</FONT>）：<FONT face="Times New Roman">RV 6 </FONT>，<FONT face="Times New Roman">LV 17 </FONT>，<FONT face="Times New Roman">LA 8 </FONT>，<FONT face="Times New Roman">AO 7</FONT>．<FONT face="Times New Roman">6</FONT>　，<FONT face="Times New Roman">PA 9 </FONT>，<FONT face="Times New Roman">RA 12*15</FONT>，</P>
<P ><FONT face="Times New Roman">IVS 3</FONT>．<FONT face="Times New Roman">3 </FONT>，<FONT face="Times New Roman">LVPW 3 , </FONT>心包暗区：<FONT face="Times New Roman">LL</FONT>：前后　无<FONT face="Times New Roman"> </FONT></P>
: l: d1 d" K4 b<P >间隔回声中断：<FONT face="Times New Roman">IAS </FONT>３<FONT face="Times New Roman">.</FONT>７<FONT face="Times New Roman"> ,  IVS </FONT>无<FONT face="Times New Roman"> ,  DAO---PA  </FONT>无<FONT face="Times New Roman"> , </FONT></P>
' o8 H$ E; }9 D9 y% W<P ><FONT face="Times New Roman">M</FONT>超：二尖瓣前叶<FONT face="Times New Roman"> </FONT>双峰<FONT face="Times New Roman"> </FONT>，前后叶<FONT face="Times New Roman"> </FONT>逆向<FONT face="Times New Roman"> </FONT>运动<FONT face="Times New Roman"> </FONT>，主动脉波幅<FONT face="Times New Roman"> </FONT>可</P>
<P ><FONT face="Times New Roman">D</FONT>超（流速单位<FONT face="Times New Roman">m/s,PG</FONT>单位<FONT face="Times New Roman">mmHg</FONT>）：</P>
<P >射流速：<FONT face="Times New Roman">MV </FONT>正常<FONT face="Times New Roman"> </FONT>，<FONT face="Times New Roman">AV 1.07 ,  PV 1.25  , TV </FONT>正常<FONT face="Times New Roman">  </FONT></P>
9 V3 g/ R* P- U<P >返流速：<FONT face="Times New Roman">MV </FONT>无<FONT face="Times New Roman">  </FONT>，<FONT face="Times New Roman">AV </FONT>无<FONT face="Times New Roman"> </FONT>，<FONT face="Times New Roman"> PV  </FONT>无<FONT face="Times New Roman"> </FONT>，<FONT face="Times New Roman">TV  1.8</FONT></P>
<P >分流速：<FONT face="Times New Roman">IAS 0.88 </FONT>，<FONT face="Times New Roman">IVS </FONT>无<FONT face="Times New Roman"> </FONT>，<FONT face="Times New Roman">DAO---PA </FONT>无</P>
# n$ E$ @! N' L3 `<P >彩超：<FONT face="Times New Roman">MV </FONT>血流分布正常<FONT face="Times New Roman"> </FONT>，<FONT face="Times New Roman">AV</FONT>血流分布正常<FONT face="Times New Roman"> </FONT>，</P>
<P ><FONT face="Times New Roman">TV </FONT>收缩期见红色血流束（轻）<FONT face="Times New Roman"> </FONT>，<FONT face="Times New Roman">PV </FONT>血流分布正常</P>
" S& n" |* h) U- {( X) G<P >心功能：<FONT face="Times New Roman">EDV 7.8 ml </FONT>；<FONT face="Times New Roman">ESV 2.6 ml </FONT>；<FONT face="Times New Roman">SV 5.2 ml </FONT>；<FONT face="Times New Roman">CO 6.2 L/min </FONT>；</P>
1 l+ t; b0 @3 }1 b- R- m. k<P ><FONT face="Times New Roman">EF 67 % </FONT>；<FONT face="Times New Roman">FS34</FONT>；<FONT face="Times New Roman">%</FONT>；<FONT face="Times New Roman">HR118</FONT>次<FONT face="Times New Roman">/</FONT>分；</P>
<P >超声所见：</P>
) U. B/ U* c. f: d7 f0 v<P ><FONT face="Times New Roman">B</FONT>：各房室内径大小正常，各瓣膜形态活动可，房间隔回声中断为<FONT face="Times New Roman">3.7mm,</FONT>室间隔回声连续<FONT face="Times New Roman">,</FONT>室壁运动可<FONT face="Times New Roman">.</FONT></P>
<P ><FONT face="Times New Roman">M</FONT>：三尖瓣见收缩期负向频谱<FONT face="Times New Roman">,</FONT>房间隔中炀上右房面取样见舒张期正向频谱<FONT face="Times New Roman">,</FONT>测得<FONT face="Times New Roman">Vmax</FONT>：<FONT face="Times New Roman">0.88m/s</FONT></P>
<P ><FONT face="Times New Roman">CDF2</FONT>：房间院中断处见由<FONT face="Times New Roman">LA</FONT>→<FONT face="Times New Roman">DA</FONT>彩色分流束</P>
<P >三尖瓣轻度返流</P>
<P >意见：先心病：房缺</P>
<P >请问这种情况严重吗？有无长好的可能？如若无长好的可能大约什么时间做手术为好？手术费用大约是多少？请您能帮我推荐几个医院。谢谢！</P>
# i1 r) S  R# s/ i/ s& V# @* L; k<P >我曾听一个外科医生讲<FONT face="Times New Roman">1</FONT>个月以下的小儿，这种情况不能判断为先心病，很有可能是卵圆孔未闭。是这样吗？急切盼望答复。谢谢！</P>

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