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<P ><FONT color=#000000 size=1>女儿十个月了，体重8公斤。今天带她去儿科做了检查，超声检查情况如下：</FONT></P>
5 y1 {0 Y9 C* D2 L4 r9 m7 l<P > </P>
- c1 G! E9 I: a- m<P >超声表现：</P>
* h! t. a- V6 U6 u" ?. M; Q$ z& I<P >主要测值：（单位：<FONT face="Times New Roman">mm</FONT>）</P> N: D W* _, k" q
<P ><FONT face="Times New Roman">PVOT17</FONT> <FONT face="Times New Roman">A013</FONT> <FONT face="Times New Roman">LA14</FONT> <FONT face="Times New Roman">LVOT14</FONT> <FONT face="Times New Roman">LVDd27</FONT> <FONT face="Times New Roman">LVDs18</FONT></P>7 G: V8 R" I4 F2 y% K+ C& X8 j
<P ><FONT face="Times New Roman">LVPW4/4</FONT> <FONT face="Times New Roman">IVS4/5</FONT> <FONT face="Times New Roman">RV10</FONT> <FONT face="Times New Roman">PA14</FONT> <FONT face="Times New Roman">RA23</FONT></P>! U( O- r; }& ]. T9 B o
<P >最大流速（单位：<FONT face="Times New Roman">m/s</FONT>）</P>- N# }3 T1 S: W2 R/ Q$ k
<P ><FONT face="Times New Roman">MV107</FONT> <FONT face="Times New Roman">TV1.04</FONT> <FONT face="Times New Roman">AA01.21</FONT> <FONT face="Times New Roman">MPA1.14</FONT></P>& ]0 T. V& C) }# v) \
<P >房室大小测值未见异常，室壁动度及厚度未见异常。</P>
5 n. \8 d( ^6 r$ H+ y<P >室间隔回声中断，中断处基底宽<FONT face="Times New Roman">6.2mm</FONT>，该处可见组织附着，顶端可见两处分流口，分别宽<FONT face="Times New Roman">2.1mm</FONT>与<FONT face="Times New Roman">2.8mm</FONT>，位于主动脉短轴切面<FONT face="Times New Roman">10</FONT>点至<FONT face="Times New Roman">11</FONT>点钟位置，<FONT face="Times New Roman">CDFI</FONT>于该处见左向右分流束，<FONT face="Times New Roman">CW</FONT>在缺损处记录到高速收缩期湍流，速度<FONT face="Times New Roman">2.93m/s</FONT>。房间隔连续正常，房间隔平面及主肺动脉内未见分流。</P>
1 O* K5 R Y) J5 X<P ><p><FONT face="Times New Roman"> </FONT></p></P>! \+ |& J: q6 a, a9 z
<P >诊断意见：</P>. T" O" E. r) C3 d6 ^
<P >先天性心脏病：室间隔缺损</P>
& u" ~1 b. `$ B7 t3 t1 ]7 f<P align=left><FONT color=#ff0000 size=2></FONT> </P>
# y A. z2 d" Z g5 ?1 d<P ><STRONG><FONT color=#ff3300 size=3>以下是女儿3个月时照的情况</FONT></STRONG></P>
! D- U; l b+ Z' }% I$ ]/ {<P >超声表现：</P>! e. G* P6 \/ Z) M
<P >主要测值：（单位：<FONT face="Times New Roman">mm</FONT>）</P>
- k; t6 [# _: [1 v, u1 s<P ><FONT face="Times New Roman">PVOT15</FONT> <FONT face="Times New Roman">A012</FONT> <FONT face="Times New Roman">LA14</FONT> <FONT face="Times New Roman">LVOT13</FONT> <FONT face="Times New Roman">LVDd24</FONT> <FONT face="Times New Roman">LVDs14</FONT></P>4 }& M2 w9 J. I4 p4 K0 K) D
<P ><FONT face="Times New Roman">LVPW3/6</FONT> <FONT face="Times New Roman">IVS4/4</FONT> <FONT face="Times New Roman">RV9</FONT> <FONT face="Times New Roman">PA11</FONT> <FONT face="Times New Roman">RA18</FONT></P>
6 p. x, |1 {- P, ?4 M) S8 }, [<P >最大流速（单位：<FONT face="Times New Roman">m/s</FONT>）</P>
% R+ u1 ]/ c" X5 f$ l<P ><FONT face="Times New Roman">MV1.30</FONT> <FONT face="Times New Roman">TV0.86</FONT> <FONT face="Times New Roman">AA01.36</FONT> <FONT face="Times New Roman">MPA1.19</FONT></P>$ B$ m4 E0 S5 F, R4 @' y
<P >房室大小测值未见显著异常，室壁动度及厚度未见异常。</P>
; _. A; L- X. u% k<P >室间隔靠十字交叉处向右室膨出假性室隔瘤，基底部宽<FONT face="Times New Roman">7mm</FONT>，顶端见两处左向分流束，分别宽<FONT face="Times New Roman">2mm</FONT>与<FONT face="Times New Roman">3mm</FONT>，位于主动脉短轴切面<FONT face="Times New Roman">9</FONT>点至<FONT face="Times New Roman">11</FONT>点钟位置，<FONT face="Times New Roman">CW</FONT>在缺损处记录到高速收缩期湍流，速度<FONT face="Times New Roman">3.36m/s</FONT>。</P>; ]$ F' x( u; ?) m, l8 z! |
<P >房间隔中部记录到左向右分流彩束，宽<FONT face="Times New Roman">4mm</FONT>。</P>
) w! e. i( b" Y9 y<P >右冠状动脉主干内径<FONT face="Times New Roman">2mm</FONT>，可见长<FONT face="Times New Roman">6mm</FONT>。</P>: y7 R! W% q' Q% o
<P >左冠状动脉主干内径<FONT face="Times New Roman">2mm</FONT>，可见长<FONT face="Times New Roman">5mm</FONT>。</P> q H& \$ O8 I9 E3 y. p
<P >收缩期三尖瓣口反流束长<FONT face="Times New Roman">7mm</FONT>，宽<FONT face="Times New Roman">3mm</FONT>。</P>
6 B( p% M) C4 K) \3 i- m<P ><p><FONT face="Times New Roman"> </FONT></p></P>
B/ c" M9 F! i" T+ x; v" E% ?<P >诊断意见：</P>
# g: o/ X4 {( u! d" B<P ><FONT face="Times New Roman">1 </FONT>先天性心脏病：室间隔缺损</P>
( k/ n: ^# p& H5 @( c8 U7 Y& T<P ><FONT face="Times New Roman">2 </FONT>房间隔卵圆孔未闭</P>
( \" j( s. N+ w; V5 C<P ><FONT face="Times New Roman">3 </FONT>冠状动脉未见扩张</P>
' x& |2 E3 w# s L<P ><FONT face="Times New Roman">4 </FONT>三尖瓣反流（轻度）</P>
3 ~$ m8 C( f9 W9 R$ B<P > </P>
& Q! G% b& S F2 P; {/ E0 E) ~<P ><FONT color=#ff0000 size=2></FONT> </P>
7 T2 g; R# y4 A' ]5 B: E<P ><FONT color=#ff0000 size=2>请问我女儿的病情发展趋势是好还是坏，有没有自愈的可能性？</FONT></P>
; ^5 k0 d8 w9 C6 g( c8 p<P ><FONT color=#ff0000 size=2></FONT> </P>. I- g4 B" u6 }/ w+ x. v- p" H
<P ><FONT color=#ff0000 size=2>如不能自愈，应该选择介入治疗还是手术治疗？能不能满足介入的条件？如果不能，为什么？听说介入术对小孩的创伤要小一些，也不愿意女儿留下手术疤痕。</FONT></P>
/ A' [* C1 B" z5 J6 ?<P ><FONT color=#ff0000 size=2></FONT> </P>& P3 W2 ]4 B+ w" I
<P ><FONT color=#ff0000 size=2>如果必须做手术，最好是什么时候？</FONT></P>
' B" U) @/ w- [/ V; M<P ><FONT color=#ff0000 size=2></FONT> </P>
1 ]0 {6 o$ Z7 l/ }' B6 W! \( Q( u<P ><FONT color=#ff0000 size=2>真的很着急，望大家给点建议！！</FONT></P> |
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