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发表于 2005-10-22 00:08:31
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<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left>我家孩子具体情况是这样的,请您帮忙分析:</P>0 n' \4 T; G4 c. P
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left>(出生10小时发现心脏杂音,而后检查结果如下.现小孩两个多月,平时症状如下:多汗,睡着有声音,身体比较瘦,食量小) </P>5 C. w+ U' A& R7 ~ ^! s
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left><B normal">超声描述:</B>各房室大小正常。主动脉内经正常、肺动脉不宽。各瓣膜形态、启闭活动未见异常。室间隔膜周部结构松散,该段随心动周期左右摆动,似见连续中断,舒张末期缺损口长径约<st1:chmetcnv w:st="on" UnitName="mm" SourceValue="1.6" HasSpace="True" Negative="False" NumberType="1" TCSC="0">1.6 mm</st1:chmetcnv>。房间隔近上腔静脉入口处可见回声连续中断约<st1:chmetcnv w:st="on" UnitName="mm" SourceValue="6.5" HasSpace="False" Negative="False" NumberType="1" TCSC="0">6.5mm</st1:chmetcnv>。各段室壁厚度及运动未见异常。左室腔内见一条索状回声。未见心包积液。<p></p></P>
1 l Z! k Q' ~2 Q<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left><B normal">PW & CDFI</B>:室间隔水平近尖<st1:chmetcnv w:st="on" UnitName="cm" SourceValue="1" HasSpace="False" Negative="False" NumberType="1" TCSC="0">1cm</st1:chmetcnv>处及膜周部分可见异常的过隔血流(膜周部见两股异常左向右分流信号),收缩期从左室经室间隔缺损口进入右室,左向右分流速度约<st1:chmetcnv w:st="on" UnitName="m" SourceValue="2" HasSpace="False" Negative="False" NumberType="1" TCSC="0">2m</st1:chmetcnv>/s.房间隔水平见左向右过隔血流信号。动脉导管水平见降主动脉到肺动脉的连续性分流信号。收缩期右心房见少量返流信号,TRPG25mmHg,SPAP35 mmHg。三尖瓣血流A峰大于E峰,E峰/A峰比值为:0.83。余瓣口流出道未见异常返流信号。<p></p></P>
& V8 n- @# ~& V$ K3 e5 m0 [<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> <p></p></P>" i. s- r4 _: F6 ` s; \' j
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left><B normal">超声提示:</B> 先天性心脏病:<p></p></P>) ~) S/ Z( Y: Y; F
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> 室间隔缺损(膜周部+肌部)<p></p></P>3 O4 X- u9 D2 _5 V5 k
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> 房间隔缺损<p></p></P>
" ?' {) d, L' q4 R7 u( T/ o<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> 动脉导管未闭<p></p></P>, r& c! a0 W% d; Y. K0 c/ S
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> 少量三尖瓣返流<p></p></P>0 w4 ]3 g, |7 ?
<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> 右室舒张功能低下<p></p></P>
' C% \ \4 i8 G3 @! O k0 u3 x<P 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" align=left> 左室假腱索 <p></p></P> _- s/ U W" ^0 f# C; Y5 n
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% A; q9 ~' W! Q8 f<P 0cm 0cm 0pt"><B normal">数字化放射诊断报告书<p></p></B></P>
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1 g# \3 d# ?+ ~1 F* U4 K, H<P 0cm 0cm 0pt"><p><FONT face="Times New Roman"> </FONT></p></P># |5 S' M7 Z g0 T2 e0 _% X1 r. [
<P 0cm 0cm 0pt 52.5pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -4.98"><B normal">影像描述:<FONT face="Times New Roman"> </FONT></B><FONT face="Times New Roman"> </FONT>两肺纹理增粗、稍强,但未见明确实质性或质性病变。两肺纹理走向分布大致正常,两肺肺门不大,纵隔无增宽,两侧膈面光滑,两侧肋膈角锐利。两侧胸廓对称。</P>
. ?; [7 D/ _; i' @& c+ T2 G: B- ^<P 0cm 0cm 0pt 51.85pt; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-para-margin-left: 4.94gd">心影略增大外,形态、位置尚未见异常。</P>
9 y }5 _. [3 S2 {' j! l<P 0cm 0cm 0pt"><p><FONT face="Times New Roman"> </FONT></p></P>
, v0 S" [7 }2 a7 q<P 0cm 0cm 0pt"><B normal">意见:<FONT face="Times New Roman"> </FONT></B>两肺肺血增多,心影略增大,考虑为先心改变,请结合临床。</P>
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