2岁，室间隔缺3.5mm 如何处理

luyuanping

<p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p>---------------------------------------------------------------------------------------------</p><p>检查报告抄录如下：</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">岁，男</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，深圳儿童医院心外科</span></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><font size="3"><font face="宋体"><span lang="EN-US">M</span>型超声心动图</font></font></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><span lang="EN-US"><font face="Times New Roman">RVD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="10" unitname="mm">10mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ARD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="True" sourcevalue="15" unitname="mm">15 mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVD&nbsp;&nbsp;&nbsp; <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="34" unitname="mm">34mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>ASD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="18" unitname="mm">18mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVS&nbsp;&nbsp;&nbsp; <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="23" unitname="mm">23mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>PAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="17" unitname="mm">17mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS&nbsp;&nbsp;&nbsp;&nbsp; <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LPAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVPW <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="6" unitname="mm">6mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RPAD <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="8" unitname="mm">8mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LAD<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="23" unitname="mm">23mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>LVOT<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="19" unitname="mm">19mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EF<span style="mso-spacerun: yes;">&nbsp; </span>61%<span style="mso-spacerun: yes;">&nbsp; </span>FS 32%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">二维超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IAS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7" unitname="mm">7mm</chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PE<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">无</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">多谱勒超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Vmax (m/sec)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">MV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0/0.5</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.2</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">TV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>0.9/0.4</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心房正位，心室右袢，左心室内径增大，房间隔回声延续正常，室间隔漏斗部回声脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="7" unitname="mm">7mm，</chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">缺损前缘距肺动脉瓣环</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="5" unitname="mm"><span lang="EN-US">5mm</span></chmetcnv><span lang="EN-US">,</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">上缘为主动脉环。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主动脉右冠犊部分向右室侧膨出，并脱垂向下遮盖缺损室间隔上部分，余瓣膜结构及启闭未见异常</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">，</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主，肺动脉位置关系正常。主动脉弓降部未见异常。冠状动脉开口及内径为见异常。心包未见积液回声。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">显示右室流出道内显示源自左室过隔分流信号，分流束宽</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="3.5" unitname="mm"><span lang="EN-US">3.5mm</span></chmetcnv><span lang="EN-US">, Vmax <chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue="4" unitname="m">4m</chmetcnv>/s.</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">P64mmHg,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">舒展期主动脉瓣口可见少量返流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">超声诊断：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">室间隔缺损（流出道型）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">室水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">主动脉瓣返流（少量）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">心脏整体功能指标正常</span></p><p><p>---------------------------------------------------------------------------------------------</p><p>求助：</p><p>小孩刚出生就室间隔缺4.0mm，</p><p>现在一切还可以，没有什么问题，除了瘦（2岁3个月，才11kg, 但有89cm）</p><p>2岁，室间隔缺3.5mm 如何处理?还能长好吗？</p><p>盼复！</p><p></p><p></p></p>-----------------------------------------------------------------------------------------------------<br/>
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wincatcher

<p>室缺是否能长好与位置有很大的关系。有些位置是长不好的。您需要提供详细的报告。</p>

leonidas

<p>个人认为自愈的可能性不大</p><p>请提供相关检查资料，谢谢</p><p></p>

luyuanping

<p></p><p>文件为什么上传不了？</p><p>我290k 的JPG和GIF都试了，</p><p>怎样上传文件？</p>

陆医生

如果是单纯室缺，可考虑介入治疗。

luyuanping

<p>&nbsp;</p><p></p><p></p><p>谢谢，请看网址报告，</p><p><a href="http://blog.sina.com.cn/main/html/showpic.html#url=http://s4.album.sina.com.cn/pic/3f8b0a97020012tr">http://blog.sina.com.cn/main/html/showpic.html#url=http://s4.album.sina.com.cn/pic/3f8b0a97020012tr</a></p><p>介入治疗效果怎样？ 费用怎样？</p><p></p><p>急盼复！</p><p></p>

jiamin

<p>检查报告抄录如下：</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">岁，男</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">，深圳儿童医院心外科</span></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><font size="3"><font face="宋体"><span lang="EN-US">M</span>型超声心动图</font></font></p><p style="BACKGROUND: white; WORD-BREAK: break-all;"><span lang="EN-US"><font face="Times New Roman">RVD <chmetcnv unitname="mm" sourcevalue="10" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>10mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>ARD <chmetcnv unitname="mm" sourcevalue="15" hasspace="True" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>15 mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVD&nbsp;&nbsp;&nbsp; <chmetcnv unitname="mm" sourcevalue="34" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>34mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>ASD <chmetcnv unitname="mm" sourcevalue="18" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>18mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVS&nbsp;&nbsp;&nbsp; <chmetcnv unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>23mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>PAD <chmetcnv unitname="mm" sourcevalue="17" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>17mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS&nbsp;&nbsp;&nbsp;&nbsp; <chmetcnv unitname="mm" sourcevalue="8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>8mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LPAD <chmetcnv unitname="mm" sourcevalue="8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>8mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LVPW <chmetcnv unitname="mm" sourcevalue="6" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>6mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>RPAD <chmetcnv unitname="mm" sourcevalue="8" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>8mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">LAD<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv unitname="mm" sourcevalue="23" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>23mm<chmetcnv></chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;</span>LVOT<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv unitname="mm" sourcevalue="19" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>19mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">EF<span style="mso-spacerun: yes;">&nbsp; </span>61%<span style="mso-spacerun: yes;">&nbsp; </span>FS 32%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p><font face="Times New Roman"></font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">二维超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IAS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">正常</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">IVS</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>7mm<chmetcnv></chmetcnv></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PE<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">无</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman"></font></p></span></p><p><font face="Times New Roman"></font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">多谱勒超声心动图</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">Vmax (m/sec)</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">AV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">MV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.0/0.5</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">PV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.2</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Times New Roman">TV<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>0.9/0.4</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">心房正位，心室右袢，左心室内径增大，房间隔回声延续正常，室间隔漏斗部回声脱失</span><span lang="EN-US"><font face="Times New Roman">8*<chmetcnv unitname="mm" sourcevalue="7" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>7mm，<chmetcnv></chmetcnv></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">缺损前缘距肺动脉瓣环</span><font face="Times New Roman"><chmetcnv unitname="mm" sourcevalue="5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US">5mm</span><chmetcnv></chmetcnv><span lang="EN-US">,</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">上缘为主动脉环。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">主动脉右冠犊部分向右室侧膨出，并脱垂向下遮盖缺损室间隔上部分，余瓣膜结构及启闭未见异常</span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">，</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 5.25pt; mso-char-indent-count: .5;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">主，肺动脉位置关系正常。主动脉弓降部未见异常。冠状动脉开口及内径为见异常。心包未见积液回声。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">CDFI</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">显示右室流出道内显示源自左室过隔分流信号，分流束宽</span><font face="Times New Roman"><chmetcnv unitname="mm" sourcevalue="3.5" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv><span lang="EN-US">3.5mm</span><chmetcnv></chmetcnv><span lang="EN-US">, Vmax <chmetcnv unitname="m" sourcevalue="4" hasspace="False" negative="False" numbertype="1" tcsc="0" wst="on"></chmetcnv>4m<chmetcnv></chmetcnv>/s.</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><font face="Times New Roman">P64mmHg,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">舒展期主动脉瓣口可见少量返流信号。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">超声诊断：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 2;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">先天性心脏病</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">室间隔缺损（流出道型）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">室水平左向右分流</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">主动脉瓣返流（少量）</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 11.25pt;"><span lang="EN-US"><span style="mso-tab-count: 4;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'mso-hansi-font-family:';">心脏整体功能指标正常</span></p>

leonidas

1、自愈的可能性不大

' m0 _3 k5 S- L4 ]. S2、流出道室缺有点象双动脉下的，建议手术治疗

3、现在就可以行手术治疗，主动脉瓣已经有脱垂，出现轻度返流

4、费用在3-3.5万左右。

luyuanping

我代宝宝和全家，谢谢leonidas 医生和贵院提供这样优质的服务：

1 D5 `+ g# D( i( ?* d6 U再请问：
手术成功的把握有多大？ 做完后还有复发的可能吗？
- H4 V) k7 B7 g" }住院要多长时间？手术后到疤好大概要多长时间？
' S# N7 j9 ^0 P! p3 m可以选择你们的主刀医生吗？
0 i2 K& l, H/ j) R" j
, |, S8 M4 a5 f0 t( S4 o主动脉瓣已经有脱垂，有多大危险，我现在钱还不够，还要等2-3个月，
6 `! @$ k8 }$ O6 i/ }这样有危险吗？上面的结果是两岁时做的，现在小孩2岁5个月了！
6 x, S! G  k8 k( \* C
买你们的点券要直接往你们帐号寄钱就好了？这样方便。
我把钱寄你的帐号上可以帮我买点券吗？谢谢！
0 J8 {3 a9 p  _6 P$ {
我是外地的，
到上海做检查（如B超等）要等多长时间？
3 W/ r* ~' @9 t6 s2 E做手术又要等多长时间？

谢谢！

leonidas

手术成功率还是很高的。室缺补好后跟正常小孩一样，不存在复发的可能。
住院一般7天左右，术后拆线约2周。
主刀医生由你住院的本组医生决定。
建议早行手术治疗。
点券的事可以发帖咨询管理员。

luyuanping

陆博士：
& \& X. j+ ^( B" {: p% f- \0 \   
+ e: H9 j. ^" M/ _( m$ a     小孩室间隔缺损+动脉瓣脱垂手术是否要锯开肋骨？   如果是锯开肋骨能否长好？
还是通过金属架支撑？时间长了金属架会弯曲吗？

& c9 ~4 T- H; i: k      顺便问一下，我昨天通过支付宝买了50元点券，但我的红心没有增加？
0 H, |( R( h5 K1 c- i8 r) m请帮我查查，谢谢！ 用户：luyuanping

luyuanping

不好意思，我刚才看到有红心了！

luyuanping

陆博士：
2 E' N1 C0 C  {* `   
" N* t+ R& u2 y" W2 Z7 n( z* x     小孩室间隔缺损+动脉瓣脱垂手术是否要锯开肋骨？   
4 j1 c' e/ r/ H& l6 v0 `1 b
6 z  {" o2 ~: w" V6 c盼复！

陆医生

不是锯开肋骨，是锯开胸骨。