|
|
<P >我的宝宝在半岁时，被诊断为先天性心脏病，超声诊断结果如下：</P>
# d2 v! ~9 k0 x/ M+ {: y2 U6 c<P ><FONT face="Times New Roman"> </FONT>主动脉内径<FONT face="Times New Roman">10mm</FONT>，</P>
6 C& w9 F8 f+ [1 f, ]: _: [3 T4 Y<P ><FONT face="Times New Roman"> </FONT>左房前后径<FONT face="Times New Roman">10mm</FONT>，左房长／横径：<FONT face="Times New Roman">24</FONT>／<FONT face="Times New Roman">13mm</FONT>，右房长／横径：<FONT face="Times New Roman">23</FONT>／<FONT face="Times New Roman">13mm</FONT>，</P># x( a7 K4 h% h1 Q4 N0 [5 l
<P ><FONT face="Times New Roman"> </FONT>左室前后径（舒张／收缩）<FONT face="Times New Roman">18</FONT>／<FONT face="Times New Roman">11mm</FONT>，</P>, z6 \ ~( p9 X- K1 r
<P ><FONT face="Times New Roman"> </FONT>左室横径（舒张／收缩）<FONT face="Times New Roman">19</FONT>／<FONT face="Times New Roman">11mm</FONT>，</P>5 W& J6 d* T3 A
<P ><FONT face="Times New Roman"> </FONT>左室长径（舒张／收缩）<FONT face="Times New Roman">31</FONT>／<FONT face="Times New Roman">22mm</FONT>，</P>, h9 G9 P/ `( e8 P, w& c
<P ><FONT face="Times New Roman"> </FONT>右室前后径<FONT face="Times New Roman">13mm</FONT>，右室长／横径：<FONT face="Times New Roman">24</FONT>／<FONT face="Times New Roman">13mm</FONT>，</P>$ R2 ?+ u- O5 A' F
<P ><FONT face="Times New Roman"> </FONT>室间隔厚度／幅度：<FONT face="Times New Roman">3</FONT>／<FONT face="Times New Roman">4mm</FONT>，与后壁呈逆向运动，</P>: ^: g& k$ W, T O! K! n6 a, ?" |
<P ><FONT face="Times New Roman"> </FONT>左室后壁厚度／幅度：<FONT face="Times New Roman">4</FONT>／<FONT face="Times New Roman">4mm</FONT>，</P># |1 ]. Q3 U" L! {6 m. \* S' @- C
<P ><FONT face="Times New Roman"> </FONT>右室流出道内径<FONT face="Times New Roman">12mm</FONT>，肺动脉内径<FONT face="Times New Roman">8mm</FONT>，</P>% f- g1 C1 o4 d- ^, {$ r
<P ><FONT face="Times New Roman"> </FONT>射血分数<FONT face="Times New Roman">75</FONT>％，短轴缩短率<FONT face="Times New Roman">41</FONT>％，</P>5 K# w3 w- u# }5 N* @0 [
<P ><FONT face="Times New Roman"> </FONT>每搏量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman">mL</FONT>，每分量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman">L/</FONT>分，</P>, T; ~8 ^( l8 P) N; f
<P ><FONT face="Times New Roman"> </FONT>跨三尖瓣压力阶差<FONT face="Times New Roman">mmHg</FONT>，肺动脉收缩压<FONT face="Times New Roman">mmHg</FONT>，</P>
. L) Z; I- a7 l% ?5 z8 F# @<P ><FONT face="Times New Roman"> EDVI:ml/mxm,ESVI:ml/mxm</FONT>。</P>& Y0 G+ v7 @ d2 S7 A
<P ><FONT face="Times New Roman"> 1</FONT>、房间隔中部连续中断，缺损大小约<FONT face="Times New Roman">5mm</FONT>。彩色血流示：房水平左向右五彩分流束，束宽<FONT face="Times New Roman">5mm</FONT>，频谱多普勒于房缺口右侧记录到正向分流频谱，分流速度<FONT face="Times New Roman">1.1m/s</FONT>，分流时间<FONT face="Times New Roman">0.23</FONT>秒。</P>) H% b4 w- g9 M, N- ?9 O- G+ Z+ d
<P ><FONT face="Times New Roman"> 2</FONT>、右房、右室扩大，余心腔大小及大血管内径正常。</P>$ f u2 C& W1 R) [2 L
<P ><FONT face="Times New Roman"> 3</FONT>、各瓣膜厚度、弹性及开放幅度正常。彩色血流未见异常。</P>
& A( j' Q* {( f7 |<P ><FONT face="Times New Roman"> 4</FONT>、室间隔及左室后壁厚度及搏幅正常。</P>
+ i' Y1 N8 f* C1 e0 K; x/ Q! m<P ><FONT face="Times New Roman"> 5</FONT>、左室<FONT face="Times New Roman">EF</FONT>及<FONT face="Times New Roman">FS</FONT>正常。</P>
" [5 z, v- m6 T/ z' L<P >超声提示：</P># v" ~! |! W1 J; C7 ?% _5 U5 t
<P ><FONT face="Times New Roman"> </FONT>先天性心脏病：</P>
5 r! P* M# H3 b: O<P ><FONT face="Times New Roman"> 1</FONT>、房间隔缺损或卵圆孔未闭。</P>
# h/ j) _& g% ~8 I2 @" b" k% m- e4 w! n<P ><FONT face="Times New Roman"> 2</FONT>、右心扩大。</P>, _- h# c; n: U2 q. h& W
<P ><FONT face="Times New Roman"> 3</FONT>、彩色血流示：房水平左向右分流。</P>
1 h6 f, r3 B0 q- U' J4 _<P ><FONT face="Times New Roman"> </FONT></P>. \7 v6 h* k3 M$ F$ o3 R( Y
<P ><FONT face="Times New Roman"> </FONT>我的宝宝现在已经<FONT face="Times New Roman">3</FONT>岁了，还未做过复查，从宝宝的精神和体质来看一切都很正常，未表现出异常。</P>
% ]9 O& h5 o, v, b# H8 w<P ><FONT face="Times New Roman"> </FONT>请问专家：<FONT face="Times New Roman">1</FONT>、房缺是否会随年龄的增长而增大？</P>
1 K* e4 T' s( B4 S9 M+ W<P ><FONT face="Times New Roman"> 2</FONT>、此情况是否需要手术治疗，若需要手术应采用何种方式，手术风险大吗？</P>. W1 {( q- v' O% K6 y8 @
<P > 3、“右心扩大”是何意思？</P> |
|
IP卡
发表于 2005-10-18 07:01:02
提升卡
置顶卡
锁帖卡
变色卡
千斤顶
发表于 2005-10-20 14:17:02
