<P >右室<FONT face="Times New Roman"> </FONT>流出道；<FONT face="Times New Roman">29MM </FONT>舒张径；<FONT face="Times New Roman">23MM</FONT></P>7 O. ]# O5 A0 i4 Y
<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>
" W; T5 m+ [; @ f+ g8 c. M, y<P >左室<FONT face="Times New Roman"> </FONT>收缩末期<FONT face="Times New Roman"> 22mm </FONT>舒张末期<FONT face="Times New Roman">31mm </FONT>后壁厚度<FONT face="Times New Roman">5mm</FONT></P>
3 H1 g1 m4 W6 g; O7 Q<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>0 ~/ f- h& i% T" C2 u. A% g
<P >主动脉<FONT face="Times New Roman">17mm</FONT></P>! P2 |) T S: J4 l! q& ?3 B' e
<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P>- f7 G* j6 l9 `
<P ><FONT face="Times New Roman"> <p></p></FONT></P>( d3 d a% k, b/ r
<P >左心功能<p></p></P>
6 w1 ]1 b. u7 m# H<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P>" U% W, @& C9 G% a. M
<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P>, D9 t! }2 ]+ e; p% n
<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P>
0 u2 j" r# C; @3 s1 j<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>9 {; y* p* q3 I; X& U
<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>$ X$ d9 R/ t$ t2 J0 {) f
<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>
6 h3 r6 R2 w3 r+ c% A% |9 g<P >心率（<FONT face="Times New Roman">HR</FONT>）<FONT face="Times New Roman"> 113</FONT>次<FONT face="Times New Roman">/</FONT>分</P>9 C$ M" ]. V4 I. b
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
3 J9 |+ _* e4 p* `<P >彩色多谱勒血流<p></p></P>* \. a! e* r* D9 L+ P- ^
<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>
# {/ ?) d2 L O<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>! v. F% ^6 @: g) A
<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>: Y9 v+ t% M4 G7 e
<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>$ b, W, }& C" I- s: S3 ^; v3 q3 Y
<P >返流<p></p></P>
* ~2 _6 p5 l- B* [5 B; R/ s<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>, l& V( S0 V9 C; I
<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P>
# W* V( W: z9 i9 [: v9 u<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>3 {& r. m" I. q- ^
<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>0 i' Q2 d$ U2 W1 S) E' m: W9 S0 N
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
0 i4 E( O# c1 }8 B<P >分析</P>; f: N* s `% }5 x
<P >心房正位<FONT face="Times New Roman"> </FONT>心室右（柈<FONT face="Times New Roman"> </FONT>）大血管位置正常<p></p></P>& A0 \/ x+ w- [1 W! E, R+ _
<P >右心扩大<FONT face="Times New Roman"> </FONT>肺动脉（坢）塞<FONT face="Times New Roman"> </FONT>心尖四腔切面，见左上下肺静脉汇入左房，右上肺静脉显示不满意未汇入左房，冠状静脉窄扩张<FONT face="Times New Roman">0.9 cm</FONT>，室间隔连续良好，各瓣膜浮动形态正常，室壁厚度正常，右室壁主动增强</P>
% l" c1 T9 q; o4 V, l: U<P ><FONT face="Times New Roman">CDF2</FONT>，<FONT face="Times New Roman">CW</FONT>，<FONT face="Times New Roman">PW</FONT>：心尖五腔房间隔顶部上<FONT face="Times New Roman">C-R</FONT>红色穿隔血流束，流束宽<FONT face="Times New Roman">0.9 cm</FONT>，<FONT face="Times New Roman">V=139 cm/s</FONT></P>
6 y# k8 w0 G8 t' i5 p5 y1 \<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>
N9 D& ~9 a6 h0 p: e0 O<P ><B >超生诊断<p></p></B></P>
/ D6 X2 M* l# j7 N<P >先心病</P>* I8 P% Z7 K* ^6 B8 q5 J1 l0 V% `) }
<P >右心扩大</P>
( \3 p: m* V8 ^1 \2 I<P >部分肺静脉异位分流可能性大</P>
. E1 V2 [, ^' f" [% Q<P >上腔型房间隔缺损不除外</P>2 ^; W0 L7 ^9 }# t. s R
<P >冠状静脉（窦）扩张</P>4 O K% X% [; p E
<P >三尖瓣反流</P>
! ?. r" @1 ?/ b<P >建议进一步检查</P>
1 T: w s9 P# G# G x) B<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>) G$ B. A: x q7 |* m; o: r
<P ><FONT face="Times New Roman"></FONT> </P>2 z) Z5 |# l/ Q* ` ]' w* Q2 q; z. S
<P ><FONT face="Times New Roman">请医生和大家帮帮忙看看我儿子房缺0.5cm+肺静脉异位+三尖瓣反流，三种情况严重吗，手术是不是比较复杂，可不可以做介入？儿子体重35，身高1.05，体质好，不常感冒</FONT></P>) a, x) P; m! c' ^) [. R3 u3 H: i
<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
IP卡
发表于 2006-2-20 07:47:16
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千斤顶
发表于 2006-2-21 03:08:06
