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- x8 M8 S# h- i( |# [ B<P>性别:女<FONT face="Times New Roman"> </FONT>年龄:<FONT face="Times New Roman">2</FONT>周3</P>
) ^3 W+ T9 t5 @7 u/ C6 o0 b<P>● 详细病情:出生体重4.5公斤,<FONT face="Times New Roman"> 1</FONT>岁时肺炎发现心脏杂音,主要是胸骨左缘<FONT face="Times New Roman">3-4</FONT>肋间连续性杂音,现胸骨左缘第二肋间也有杂音,2个多月前查彩超发现是<FONT face="Times New Roman">PDA</FONT>伴降主动脉轻度狭窄(见报告单)。
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" ?2 {; U- s5 y2 x2 C2 K<P>● 目前一般情况:瘦小,好动,其它一般情况尚可,体重11公斤,股动脉没有枪击音,足背动脉搏动尚可。下肢血压高于上肢。<FONT face="Times New Roman">
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V+ t- {4 B+ b) D# z2 z! x<P>● 既往病史:肺炎三次。<FONT face="Times New Roman">
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<P>● 辅助检查:<FONT face="Times New Roman"> 2004.9.18福建</FONT>省立医院心研所彩超结果:<FONT face="Times New Roman">LA2.86cm, LV4.15cm , RA1.99cm,RV1.94cm, IVS0.567cm,LVW0.538cm, </FONT>肺动脉<FONT face="Times New Roman">2.05cm, </FONT>主动脉窦部<FONT face="Times New Roman">1.96cm,</FONT>弓部内径<FONT face="Times New Roman">1.36-1.42cm,</FONT>降主动脉峡部<FONT face="Times New Roman">0.811cm</FONT>(狭窄处长约<FONT face="Times New Roman">1.29-1.35cm</FONT>)<FONT face="Times New Roman">,</FONT>降主动脉狭窄处远端窄后增宽约<FONT face="Times New Roman">1.72cm</FONT>, 右室流出道<FONT face="Times New Roman">2.37cm</FONT>,肺动脉内径稍宽,降主动脉与左肺动脉起始处之间管道相通长约<FONT face="Times New Roman">0.610cm,</FONT>宽约<FONT face="Times New Roman">0.808cm</FONT>。<FONT face="Times New Roman"> LA,LV</FONT>增大。<FONT face="Times New Roman"> </FONT>各瓣膜未见异常。<FONT face="Times New Roman"> PWD: PDA</FONT>左向右分流,降主动脉峡部血流速<FONT face="Times New Roman">324cm/s,</FONT>最大压差<FONT face="Times New Roman">42mmHg,</FONT>平均压差<FONT face="Times New Roman">24.3mmHg. CDFI: PDA</FONT>左向右连续分流信号,降主动脉峡部收缩期多色镶嵌湍流信号,<FONT face="Times New Roman">MR+,PR+,AR</FONT>局限。<FONT face="Times New Roman"> </FONT></P>
. k3 J& {* u- s" {2 F<P><FONT face="Times New Roman"> </FONT>结论:<FONT face="Times New Roman"> 1.PDA(</FONT>管型<FONT face="Times New Roman">)</FONT>,<FONT face="Times New Roman"> </FONT></P>% e. B5 W, A2 S- I) J4 g: M
<P><FONT face="Times New Roman"> 2.</FONT>降主动脉峡部轻度狭窄,<FONT face="Times New Roman"> </FONT></P>
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<P><FONT face="Times New Roman"> 4.LA,LV</FONT>增大。</P>
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% _( v! p2 Q% }' C4 V( t6 O3 }2 V! u<P>● 请问:</P>" C/ Q* W! t5 l2 \7 W) v" g
<P>● <FONT face="Times New Roman">1.</FONT>手术时间?<FONT face="Times New Roman"> </FONT></P>
5 Y/ Y0 c2 i2 f5 _2 d. F<P>● <FONT face="Times New Roman">2.</FONT>降主动脉狭窄是否严重?术前如何判断降主动脉狭窄是否需要治疗?<FONT face="Times New Roman"> </FONT></P>( m% c4 P! G' l; o7 a3 M
<P>● <FONT face="Times New Roman">3.</FONT>若需开胸治疗主动脉狭窄,哪种方式好(补片等等)?术后远期效果如何?会遗留并发症吗?</P>
3 ?( G% G- z; }3 M<P><FONT face="Times New Roman"> 4.若在贵院手术,费用大约多少?时间多长?</FONT></P>
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<P>● 希望能够得到专家的<B><EM>尽可能详尽</EM></B>的答复,谢谢!</P># k$ S* W( S. D1 C/ L
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