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<P ><FONT size=3>宝宝出生第一天检查心脏有杂音、口唇青紫<FONT face="Times New Roman">(</FONT>其它部位不会青紫<FONT face="Times New Roman">)</FONT>,后来做了<FONT face="Times New Roman">B</FONT>超,结果提示新生儿动脉导管未闭及卵圆孔未闭<FONT face="Times New Roman"> (</FONT>结果如下所附<FONT face="Times New Roman">)</FONT>。医生当时说六个月后再做<FONT face="Times New Roman"> B </FONT>超复查,期间如有感冒要引起注意,不需额外护理。现在已满三个月,宝宝发育正常,心脏有轻微杂音,比以前好。但哭时口唇青紫还是较明显。不哭时口唇青紫症状比以前好,基本看不出口唇青紫。但还是担心<FONT face="Times New Roman">……<p></p></FONT></FONT></P>
% d5 o( y- j, R! I4 R7 @6 W+ m<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
) R4 |* e# W$ q5 F. A" q* T<P ><FONT size=3>请问医生:<p></p></FONT></P>1 l. [+ a6 y8 y' j" g
<P ><FONT face="Times New Roman"><FONT size=3>1.</FONT> </FONT><FONT size=3>从当时<FONT face="Times New Roman"> B </FONT>超结果看,问题是否严重?是否要尽量避免宝宝哭闹?<p></p></FONT></P>% Z4 ?( |# ?7 v) c( j0 _9 E1 j
<P ><FONT face="Times New Roman"><FONT size=3>2.</FONT> </FONT><FONT size=3>动脉导管及卵圆孔两种情况的自然闭合的可能性有多高?<p></p></FONT></P>5 b5 d1 W( h W2 u: Z2 {( \6 A
<P ><FONT face="Times New Roman"><FONT size=3>3.</FONT> </FONT><FONT size=3>是否六个月再做<FONT face="Times New Roman"> B </FONT>超?平时要注意哪些问题?<p></p></FONT></P>- V9 X+ n5 G9 P: E f) y8 ] H0 c( ~
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
$ }8 |! k2 Q% ]5 s0 }. |<P ><FONT size=3>本人在外地,希望能答复,谢谢!<p></p></FONT></P>0 z; b/ ?$ V6 L! j% R, I
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
. ]$ Q D3 j- Q/ }( [. [5 G l<P ><FONT size=3>附:<FONT face="Times New Roman"> <p></p></FONT></FONT></P>0 D; }' A" W7 P+ I/ N, {" D2 G
<P ><B>超声影像科检查报告单</B><B><p></p></B></P>& I$ Y8 l' f7 b9 R* w
<P ><FONT face="Times New Roman" size=3> </FONT></P>$ O* r! I' B+ m3 n9 v6 B, W" V
<P ><FONT size=3>性别:男<FONT face="Times New Roman"> </FONT>年龄:<FONT face="Times New Roman">1 </FONT>天<FONT face="Times New Roman"> </FONT>仪器型号:<FONT face="Times New Roman">VV7(1) </FONT>检查部位:心脏<p></p></FONT></P>
/ p, O9 J8 k9 T- D7 @<P ><FONT face="Times New Roman" size=3> </FONT></P>4 e; Z* E' H4 J' R5 L
<TABLE cellSpacing=0 cellPadding=0 border=1>
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- t* `+ k1 R7 \* X<TR >
) n% @4 z, I" T7 ^5 S# Q3 }7 T<TD vAlign=top width=344 colSpan=2>" C& h* l' u @
<P >心脏测值(<FONT face="Times New Roman">mm</FONT>)<p></p></P></TD>
* t! `& k1 D8 \# k+ q<TD vAlign=top width=151>
4 H; h, @* s! T0 w' w/ M5 _3 x4 C<P ><FONT face="Times New Roman">Doppler</FONT>检查<FONT face="Times New Roman">(m/s)<p></p></FONT></P></TD>6 T# o8 w7 {, Q& `: F: B4 w" Q
<TD vAlign=top width=178>
2 Y" T! P" t' B<P >心功能检查<p></p></P></TD>
$ m: ]* R. \1 n* H @1 O<TD width=1>3 c5 U1 |* }+ B# j
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>8 h" h* l/ d5 {3 M5 u/ I
<TR >. v* L, e. A' W& ?+ i3 L: ]
<TD vAlign=top width=165>, L) H6 _6 z( s! Q! j
<P ><FONT face="Times New Roman">RVOT 7mm<p></p></FONT></P></TD>
1 h, }7 c# X5 C" A: I: s<TD vAlign=top width=179>
/ l* X0 h0 f" P% X/ Z) D<P ><FONT face="Times New Roman">RVDd 10mm<p></p></FONT></P></TD>
- R' }6 I; w$ H5 F<TD vAlign=top width=151>
9 O/ ]# P4 {8 d8 J% z% j) o u# Q<P ><FONT face="Times New Roman">MVE 0.64 m/s<p></p></FONT></P></TD>
8 i: p& T" J6 t4 y<TD vAlign=top width=178>
( d( O, |% i+ q- l% m# K3 D<P ><FONT face="Times New Roman">EF 70%<p></p></FONT></P></TD>
3 S g# j7 [, }<TD width=1>
* o- G; y* @) h" @/ g5 L7 N<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
# Q7 L/ m2 S+ c1 n: r9 i<TR >
' F; u2 J5 A% a<TD vAlign=top width=165>
5 S7 h$ x+ s# Z- P+ `- Y9 l<P ><FONT face="Times New Roman">LVDs 10mm<p></p></FONT></P></TD>
' A; Z6 i- ]1 m2 W7 y I2 I<TD vAlign=top width=179>
! F) `+ I9 |( E" q& V6 b<P ><FONT face="Times New Roman">LVDd 15mm<p></p></FONT></P></TD>, M1 d/ u! v& Y( c# v% R& Q
<TD vAlign=top width=151>6 a3 t& `! y: l, q. h5 T. U1 O
<P ><FONT face="Times New Roman">MVA 0.52 m/s<p></p></FONT></P></TD>' U, B8 n( G" s4 j! }0 G
<TD vAlign=top width=178>5 l3 P+ A+ L6 a; z; K) n
<P ><FONT face="Times New Roman">FS 36%<p></p></FONT></P></TD># U" J& ]# ]" G" K
<TD width=1>
+ O! I8 |( I O3 B( O<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>* o; q/ K2 L# t' I6 z: Y
<TR >
$ p% ]+ {( M% J" a4 C0 D<TD vAlign=top width=165>
. K/ T- d* i$ K0 `<P ><FONT face="Times New Roman">AO 8mm<p></p></FONT></P></TD>; V1 E1 {- `$ @. Y: @. A
<TD vAlign=top width=179>
- B# J7 W# J! U! u- @. z [: K<P ><FONT face="Times New Roman">LA 9mm<p></p></FONT></P></TD>
- z- s1 H: {% i$ m<TD vAlign=top width=151>
2 h% U5 r+ A5 S$ z<P ><FONT face="Times New Roman">TVE 0.35 m/s<p></p></FONT></P></TD>
' y3 i4 m7 A% f; A B<TD vAlign=top width=178>
; H; Y) x0 M* K- h- V) U<P ><FONT face="Times New Roman"> </FONT></P></TD>
) H3 k' @5 ^2 H. n<TD width=1>
4 V# x; X0 g6 f<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
. y/ u4 L4 k) Y1 ^/ J4 M" H<TR >) Z: ^/ e9 ?/ |$ k2 ^- {0 P' P
<TD vAlign=top width=165>5 _( \/ g( u1 g/ n4 L, w
<P ><FONT face="Times New Roman">LVSd 4mm<p></p></FONT></P></TD>
+ H. e( [/ U: f<TD vAlign=top width=179>0 q1 W2 b( M$ Z4 b" ^0 l$ P
<P ><FONT face="Times New Roman">IVS</FONT>搏动幅度<FONT face="Times New Roman"> 3mm<p></p></FONT></P></TD>
1 O8 d6 l2 \: [# i5 J! I5 k' m. ~<TD vAlign=top width=151>
' J2 _' v, U* [/ _<P ><FONT face="Times New Roman">TVA 0.31 m/s<p></p></FONT></P></TD>
- ~- Z& b" ?4 K; T<TD vAlign=top width=179 colSpan=2>
/ l* r; ?* F" X: s3 {3 v<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
0 b! \& ^$ k- |$ F/ n2 P9 K<TR >
8 j5 y+ R' P3 G. f; M<TD vAlign=top width=165>* a4 ?/ q6 Y1 ^2 y5 u7 G4 m' K
<P ><FONT face="Times New Roman">LVPWd 4mm<p></p></FONT></P></TD>
* t% X( x* _$ s4 u0 T<TD vAlign=top width=179>
& a7 A W* \: `<P ><FONT face="Times New Roman">LVPW</FONT>搏动幅度<FONT face="Times New Roman">9mm<p></p></FONT></P></TD>
6 Q. X( @8 U9 u! J. ? }<TD vAlign=top width=151>
! s) i; x( p) M- _8 z8 v<P ><FONT face="Times New Roman">AV 0.79 m/s<p></p></FONT></P></TD>
! o' o4 D8 `) m5 V: I, \<TD vAlign=top width=179 colSpan=2>
/ [) f: I/ r, `<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
. [& i" g A6 m3 R' f, ~<TR >" d' k; V7 b' j) X: x# D$ u
<TD vAlign=top width=165>5 c1 D/ e: \; J% H
<P ><FONT face="Times New Roman"> </FONT></P></TD>! g7 L" P$ l% M+ a
<TD vAlign=top width=179>0 Z% I" S. z/ A+ z2 \
<P ><FONT face="Times New Roman"> </FONT></P></TD>; t* T* h2 u2 q4 l! f; l. _0 K# N
<TD vAlign=top width=151>- [; T# j8 D H4 {- u& R' x* W# @3 \
<P ><FONT face="Times New Roman">PV 0.89 m/s<p></p></FONT></P></TD>; r7 ]& a3 y+ O6 b8 L) f- g
<TD vAlign=top width=179 colSpan=2>
9 [; V) S4 a2 G8 ^1 m- y<P ><FONT face="Times New Roman"> </FONT></P></TD></TR></TABLE>
2 Y( [% x/ U4 {0 `: J7 w<P ><FONT face="Times New Roman" size=3> </FONT></P>
+ o; W$ C0 E5 E" B. V. ?<P ><FONT size=3><B>超声描述:</B><B><p></p></B></FONT></P>
$ I- `# N: V" ^# t- K- P, E5 j. ]<P ><FONT size=3>升主动脉内径正常。肺动脉内径正常。主<FONT face="Times New Roman">-</FONT>肺动脉间见异常交通,内径约<FONT face="Times New Roman">3mm</FONT>。心瓣膜回声纤细柔软,启闭良好。各心腔未见明显扩大。左室壁不厚,静息状态室壁运动正常。房室间隔连续完整。心包腔未见液性暗区。<FONT face="Times New Roman">Dopple&CDFI</FONT>:上述主<FONT face="Times New Roman">-</FONT>肺动脉间见异常连续性分流,峰速度约<FONT face="Times New Roman">3.1m/s</FONT>。三尖瓣口见少量返流束峰值速度<FONT face="Times New Roman">2.1m/s</FONT>。房水平中部见细束左向右分流。<p></p></FONT></P>) j) I0 N ]5 ?& g$ [; X
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>% `$ t5 Y& d: W4 m+ z
<P ><FONT size=3><B>超声描述:</B><B><p></p></B></FONT></P>3 F4 A5 {2 H/ q
<P ><FONT size=3>新生儿动脉导管未闭。<p></p></FONT></P>
$ A8 T. y0 V( n, U<P ><FONT size=3>卵圆孔未闭。<p></p></FONT></P>
/ D4 e" Y+ @3 w& z0 o( p9 V<P ><B><FONT face="Times New Roman" size=3> </FONT></B>诊断时间:<FONT face="Times New Roman">2005-01-25</FONT></P> |
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