紧急咨询房间隔缺损

eilleen

小儿刚刚满60天(出生体重2.85KG,现在体重6公斤), 我们在前两天体检过程中发现他有房间隔缺损, 杭州儿保医院的检查结果如下:
5 @( _0 J2 I1 l4 ]3 X. G<DIV><FONT face=Arial></FONT> </DIV>
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8 d% t+ K$ j& g: s<DIV><FONT face=Arial color=#0000ff>M型测量(CM):</FONT></DIV>
# R2 c6 o( T9 s% K" q8 E<DIV><FONT face=Arial color=#0000ff>AO  1.13     LA 1.25     LV2.30</FONT></DIV>
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, g/ W% Y! L1 s+ X/ e& c) \<DIV><FONT face=Arial color=#0000ff>二维检查:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>1. 剑下及心尖四腔切面见房间隔中部回声失落DIA0.45CM, 位继发孔,左房内见肺静脉汇入.</FONT></DIV>
$ _! x" ?2 u# w5 A1 ~" {; N<DIV><FONT face=Arial color=#0000ff>2. 室间隔完整, 未见未闭动脉导管</FONT></DIV>
4 s8 L8 r6 V: D6 s9 x+ Y# n<DIV><FONT face=Arial color=#0000ff>3. 各瓣膜回声及活动未见异常</FONT></DIV>
6 {' q; |, a7 q8 Q. j<DIV><FONT face=Arial color=#0000ff>4. 心脏大血管位置正常, 主动脉弓降部未见明显缩窄</FONT></DIV>
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<DIV><FONT face=Arial color=#0000ff>脉冲多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面: SV置于房间隔缺损处见舒张期为主向上湍流频谱.</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>肺动脉峰值流速1.03M/S, 平均流速0.65M/S, VTI0.15M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>主动脉峰值流速1.21M/S, 平均流速0.86M/S, VTI0.19M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>心尖四腔切面: SV置于三尖瓣口右房侧见收缩期向下湍流频谱</FONT></DIV>
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<DIV><FONT face=Arial color=#0000ff>彩色多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面见房间隔水平红色血流束从左房入右房</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>胸骨旁及心尖四腔切面三尖瓣水平见蓝色血流束从右室入右房</FONT></DIV>
  J. O8 L, p7 ^$ }<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
# ?5 Y8 U  |6 k6 G- X$ x<DIV><FONT face=Arial color=#0000ff>超声诊断:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>先天性心脏病</FONT></DIV>
# A2 I( v9 ^+ @; v% Q& L<DIV><FONT face=Arial color=#0000ff>房间隔缺损(继发孔DIA0.45CM)</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>三尖瓣轻度返流</FONT></DIV>
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<DIV><FONT face=Arial>我们非常着急, 能否在百忙之中请您帮忙解答以下问题:</FONT></DIV>
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/ w; E  ]/ P  E0 |0 X<DIV><FONT face=Arial>(1)小儿的这种状况严重吗?需要手术吗?</FONT></DIV>
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<DIV><FONT face=Arial>(2)</FONT><FONT face=Arial>有没有自己愈合的可能性?</FONT></DIV>