法四咨询

wangxia

<font color="#0000ff"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">专家你好，这是宝宝（女）</span><span lang="EN-US"><font face="Times New Roman">6</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">个月大时，2006年12月20日所做的超声报告：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font size="3">报告如下：</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman">M</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">型超声心动图（厘米）：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>LVDd<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;">1.92</span><span style="mso-spacerun: yes;">&nbsp; </span>RVDd <span style="mso-spacerun: yes;">&nbsp;</span><span style="COLOR: red;">1.26</span>
& m7 e- ]* }% G) b! H# _                                                <span style="mso-spacerun: yes;">&nbsp;</span>IVSd<span style="mso-spacerun: yes;">&nbsp; </span>LVPWd<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;">0.25 </span><span style="mso-spacerun: yes;">&nbsp;</span>Ao<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;">1.49</span></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>LVDs <span style="mso-spacerun: yes;">&nbsp;&nbsp;</span><span style="COLOR: red;">1.15</span>
                                                <span style="mso-spacerun: yes;">&nbsp;</span>RVDs<span style="mso-spacerun: yes;">&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>IVSs<span style="mso-spacerun: yes;">&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;</span>LVPWs <span style="mso-spacerun: yes;">&nbsp;</span><span style="COLOR: red;">0.57</span><span style="mso-spacerun: yes;">&nbsp; </span>LA<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;">0.96<p></p></span></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">频谱多普勒超声（米</span><span lang="EN-US"><font face="Times New Roman">/</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">秒）：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font size="3"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>AAo<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;">1.2</span><span style="mso-spacerun: yes;">&nbsp; </span>DAo <span style="mso-spacerun: yes;">&nbsp;</span><span style="COLOR: red;">1.2 </span><span style="mso-spacerun: yes;">&nbsp;</span>LVOT<span style="mso-spacerun: yes;">&nbsp; </span>RVOT<span style="mso-spacerun: yes;">&nbsp; </span>MPA<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;">4.34</span></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>MV<span style="mso-spacerun: yes;">&nbsp; </span><span style="COLOR: red;"><span style="mso-spacerun: yes;">&nbsp;</span>1.5 </span><span style="mso-spacerun: yes;">&nbsp;</span>TV<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><span style="COLOR: red;">0.6 </span><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;</span></font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">跨瓣压差</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>mmHg</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font size="3">彩色多普勒超声：</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp; </span>MR<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span></font></span><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">阴性</span><span lang="EN-US"><font face="Times New Roman"> AI<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">阴性</span><font face="Times New Roman">
- o. }+ k# f* {# o1 H                                </font><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;</span>TR<span style="mso-spacerun: yes;">&nbsp; </span></font></span><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">轻微</span><font face="Times New Roman">
                                        <span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp;</span>PI <span style="mso-spacerun: yes;">&nbsp;</span></span></font><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">轻微</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><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: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心房水平</span><span style="COLOR: red;"><font face="Times New Roman">
                                        </font></span><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">无</span><font face="Times New Roman">
                                </font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">分流</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: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心室水平</span><font face="Times New Roman">
                                </font><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">双向</span><font face="Times New Roman">
                                </font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">分流</span><font face="Times New Roman">
                                </font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">大动脉水平</span><font face="Times New Roman">
% ?( M& @/ d) ?                                </font><span style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">无</span><font face="Times New Roman">
  A! r% Y4 w: P9 R5 \5 s                                </font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">分流</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font size="3">超声所见：</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心脏位置及连接正常。右房右室增大，右心室肥厚，左室壁收缩活动可。主动脉增宽，骑跨于室间隔上</span><span lang="EN-US"><font face="Times New Roman">50%</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，圆锥隔前移，肺动脉瓣及瓣下狭窄，肺动脉瓣环</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".7" unitname="cm"><span lang="EN-US">0.7cm</span></chmetcnv><span lang="EN-US">, </span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">分叉处内径</span><font face="Times New Roman"><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".27" unitname="cm"><span lang="EN-US">0.27cm</span></chmetcnv><span lang="EN-US">,</span></font><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">左肺动脉开口</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".44" unitname="cm"><span lang="EN-US"><font face="Times New Roman">0.44cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，右肺动脉开口</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".43" unitname="cm"><span lang="EN-US"><font face="Times New Roman">0.43cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，内径</span><chmetcnv wst="on" tcsc="0" numbertype="1" negative="False" hasspace="False" sourcevalue=".56" unitname="cm"><span lang="EN-US"><font face="Times New Roman">0.56cm</font></span></chmetcnv><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。房室瓣开放活动可。房间隔完整。室间隔缺损，对位不良型，双向分流。左位主动脉弓，未见动脉导管开放。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';"><font size="3">提示：</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><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: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">法洛式四联症</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">请问专家，从超声结果看，我宝宝的肺血管发育良好吗？一次可以根治吗？术前是否需要做导管检查呢？宝宝情况现在是否严重，是否需要尽早手术？谢谢专家回复</span></font></p></font>

wangxia

<p>斑主你好！这是贵院陈树宝教授在12月20号给我宝宝所做的彩超，他建议我们一岁左右再过去检查确定手术，说血管比较细，现在做手术不一定一次就可以根治。可现在宝宝不是很好带，尤其感冒了。宝宝苦闹厉害时有发紫现象并偶尔有晕厥现象。斑主做为一名外科专家，能否给我们治疗宝宝的建议，谢谢回复</p>

陆医生

法四的患者我们一般建议半岁到1岁之间手术治疗，如果容易肺炎、感冒等，应该考虑早些治疗。

meimei

<p>你好..</p><p>&nbsp;&nbsp;&nbsp; 我是一个15岁的女孩子.有一天.妈妈突然同我说.我有先心病.16岁后.带我去做手术.</p><p>在当年我刚出生的时候.医生对我妈妈说.在我16岁时.带我去医院做手术..我上网查资料.先心病患者应</p><p>在3岁前做手术.那为什么医生说要16岁才去做手术?</p>

陆医生

？？？

陆医生

您好：<br/>&nbsp;&nbsp;&nbsp; 左右肺动脉发育看起来还可以，主要是分叉处小，建议及早手术治疗，估计可以一期根治。

wangxia

<div>admin医师</div><div>&nbsp;&nbsp; 你好！</div><div>您是陆医生吧，我家宝宝自从06年12月20号从贵院陈树宝教授检查回来后，最近三天时间已经发生了二次突然发紫症状，症状过后宝宝就睡觉了！现在喂养方面很正常。请问admin，我宝宝现在这样的情况还是在家等待手术时机，还是要尽快去医院？宝宝发生这种情况可有夭折的危险？谢谢回复！<br/><br/></div>

陆医生

建议还是过好年后看一下徐志伟教授的门诊吧。

wangxia

<p>专家你好！</p><p>&nbsp;&nbsp; 我家宝宝现在基本每天都有缺氧发作，有时一天几次，宝宝一个月前还去过贵院一次，不过那时没现在这样情况，就回来准备等到年后过去的。可最近的情况确实让家人担心，请问专家宝宝这样的情况是不是急需去医院就治？？去了就能住上医院吗？谢谢回复！</p>

陆医生

那就抓紧到我们这里治疗吧。

wangxia

<p>斑主</p><p>&nbsp;&nbsp; 你好！</p><p>&nbsp;&nbsp; 我现在去了宝宝就能住下医院做到手术吗？现在家人非常焦急，因为马上要过年了，人流也越来越多！</p>

陆医生

个人认为如果拖到年后的话风险会很大，因为年后起码要在近2个月之后了。