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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>
- A# l. j! T. k9 v0 \" y<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>! ^3 N, H+ d1 r- t; V* \
<P ><FONT size=3>请问医生:<p></p></FONT></P>$ \3 T* Y* z' h
<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>+ y% M V. l( _* b
<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>) b/ Q+ R4 H) D8 o4 S
<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>
: Q ~! Y4 ~0 `! `8 |<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
/ Y4 m; ]' ]2 o* s; J) y2 g7 E<P ><FONT size=3>本人在外地,希望能答复,谢谢!<p></p></FONT></P>0 T) n) c0 i) S0 X B8 J
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
8 l3 Z$ |) T. q0 e<P ><FONT size=3>附:<FONT face="Times New Roman"> <p></p></FONT></FONT></P>2 s1 ]* w" A! `3 c" m
<P ><B>超声影像科检查报告单</B><B><p></p></B></P>
4 V T# \2 v- _! O, H1 R<P ><FONT face="Times New Roman" size=3> </FONT></P>. f! p2 j/ N" ?; V0 `- J
<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>6 i, d7 }: A3 M+ q# r+ `
<P ><FONT face="Times New Roman" size=3> </FONT></P>
7 ?9 Y$ a! k: }; V8 i! u- m" q<TABLE cellSpacing=0 cellPadding=0 border=1>
8 c5 }5 R2 b" p7 B) x* \( A
" {& y8 j8 [, R% h) G<TR >2 f# @; z3 I- F* I5 R
<TD vAlign=top width=344 colSpan=2>8 q, [0 [; @$ `2 m& O5 Q3 j
<P >心脏测值(<FONT face="Times New Roman">mm</FONT>)<p></p></P></TD>
, C6 N" v# O; a- F0 B2 A4 T<TD vAlign=top width=151>
6 r* v- y+ F4 E. m. D: C6 U<P ><FONT face="Times New Roman">Doppler</FONT>检查<FONT face="Times New Roman">(m/s)<p></p></FONT></P></TD>8 O& S' d P5 y" p0 g4 ]5 L6 Q( |0 s, T
<TD vAlign=top width=178>3 T1 z8 k# W) C+ P( [" V6 p: |8 P
<P >心功能检查<p></p></P></TD>& F% W- H9 q0 |1 }2 g
<TD width=1>
. n+ ]' ^8 i7 r: g2 C% U) O<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>* {( C/ j4 p, K" e
<TR >
+ X* ]- ]- i Q% h% [" [<TD vAlign=top width=165>. w) f" P) e: d# V
<P ><FONT face="Times New Roman">RVOT 7mm<p></p></FONT></P></TD>
- g4 O2 b: |8 H. r2 {; f0 T9 ^; x<TD vAlign=top width=179>' {4 z2 U% g5 q) p; z" ~
<P ><FONT face="Times New Roman">RVDd 10mm<p></p></FONT></P></TD>2 ^& [, v8 j: H: A
<TD vAlign=top width=151>
5 d) S3 S; y. {& R! j<P ><FONT face="Times New Roman">MVE 0.64 m/s<p></p></FONT></P></TD>
6 L0 }7 K7 L t% E<TD vAlign=top width=178>
; X( O0 @5 a R. R<P ><FONT face="Times New Roman">EF 70%<p></p></FONT></P></TD>
1 G9 v+ u7 T# ~) u( K) v4 X' Z<TD width=1># D; C5 {; s u2 n K2 i1 b
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>. l2 C. X+ m# |- k- b9 Y! \
<TR >
v }+ g3 S* O' [! b<TD vAlign=top width=165>
5 q$ H4 x s; v/ m<P ><FONT face="Times New Roman">LVDs 10mm<p></p></FONT></P></TD>
' v8 z0 k. E# C- ~5 }2 \<TD vAlign=top width=179>
5 F% {3 U2 [8 I: E<P ><FONT face="Times New Roman">LVDd 15mm<p></p></FONT></P></TD>
7 Y0 r" B7 @/ T<TD vAlign=top width=151>
# i: y# P$ ^8 S% P! i; \<P ><FONT face="Times New Roman">MVA 0.52 m/s<p></p></FONT></P></TD>
' B+ j' y" ]5 k' I* j" x( r<TD vAlign=top width=178>
6 B; e& r- R3 o# @7 m$ c2 `<P ><FONT face="Times New Roman">FS 36%<p></p></FONT></P></TD>) ?; z2 D' Z% e
<TD width=1>
; I4 Q$ V1 H9 t: Z<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
1 f* B1 @6 o- ~/ h<TR >
4 G' t9 R( \0 I$ f( ?+ y5 j<TD vAlign=top width=165>4 b. \0 m% ~6 F# G& u
<P ><FONT face="Times New Roman">AO 8mm<p></p></FONT></P></TD>8 e4 o5 d( R* c6 K' R1 Q
<TD vAlign=top width=179>
, c3 m' j2 B0 X, f9 D, H" S<P ><FONT face="Times New Roman">LA 9mm<p></p></FONT></P></TD>0 M" N. Y& p) g) w: G$ x* z
<TD vAlign=top width=151>
$ f# k2 K4 m- D" r0 Z$ [. b<P ><FONT face="Times New Roman">TVE 0.35 m/s<p></p></FONT></P></TD>
, c$ e% ?$ l( p- `<TD vAlign=top width=178>1 c4 q5 s5 X% G; c. H6 O( R
<P ><FONT face="Times New Roman"> </FONT></P></TD>7 p7 V% W- x- e, T* Z* h2 c! ?* ~( G
<TD width=1>
d3 x: M8 g9 n- z( J/ |" a7 _<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
' e/ N! J/ c, L, ^$ q<TR >* Z7 m+ M" E+ U9 M% a( m0 J% `
<TD vAlign=top width=165>
4 y. h5 G( j& u/ s+ p. a1 c<P ><FONT face="Times New Roman">LVSd 4mm<p></p></FONT></P></TD>( _( G$ O' [6 \
<TD vAlign=top width=179>
0 y5 ^# U* {; j' A8 y0 p<P ><FONT face="Times New Roman">IVS</FONT>搏动幅度<FONT face="Times New Roman"> 3mm<p></p></FONT></P></TD>
; C8 f/ U# z1 p! C6 M3 H<TD vAlign=top width=151>/ C; @7 l% g! e8 t+ y# R
<P ><FONT face="Times New Roman">TVA 0.31 m/s<p></p></FONT></P></TD>. l) c4 R( g2 ?7 O. g3 _: b
<TD vAlign=top width=179 colSpan=2>3 X ?2 N$ Z8 N, e2 h( l5 _
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
2 W6 f% Z* Z% s' j3 u<TR >. I! L1 N8 e$ R8 s
<TD vAlign=top width=165>7 `4 _- Z6 j' W! r9 A
<P ><FONT face="Times New Roman">LVPWd 4mm<p></p></FONT></P></TD>
1 J" A+ e) f; x. L& n! V( [<TD vAlign=top width=179>
: J; }: F2 b: @<P ><FONT face="Times New Roman">LVPW</FONT>搏动幅度<FONT face="Times New Roman">9mm<p></p></FONT></P></TD>% q$ N7 i% P# \6 h( S5 y
<TD vAlign=top width=151>
1 Z! x. S7 y# P) M- v6 s# J) C<P ><FONT face="Times New Roman">AV 0.79 m/s<p></p></FONT></P></TD>1 B! f$ S( H" q- ?" n& O
<TD vAlign=top width=179 colSpan=2>
8 Z% t* s9 {/ O, F: c9 S* B& `! t<P ><FONT face="Times New Roman"> </FONT></P></TD></TR>
& l, G# U; I$ }% g2 m& @2 i) d<TR >
7 @! ]: O: t8 n2 L- r" S<TD vAlign=top width=165>
' E; {# Q J& t/ J @' p" `( }<P ><FONT face="Times New Roman"> </FONT></P></TD>
2 N- t- L3 U( ~3 X) Z5 q<TD vAlign=top width=179>
1 [: G& F8 K2 N" ` `( W<P ><FONT face="Times New Roman"> </FONT></P></TD>
/ C* D! X' o% _0 p. j1 p T<TD vAlign=top width=151>
5 ~7 f1 H0 z4 \) {3 @) b. ?<P ><FONT face="Times New Roman">PV 0.89 m/s<p></p></FONT></P></TD>* s. N! `( t+ T# Z
<TD vAlign=top width=179 colSpan=2>* m) j! w. A( j
<P ><FONT face="Times New Roman"> </FONT></P></TD></TR></TABLE>
! S: i2 J& _1 l$ a: l# k9 D<P ><FONT face="Times New Roman" size=3> </FONT></P>
9 q: V' z' G/ }+ G& h<P ><FONT size=3><B>超声描述:</B><B><p></p></B></FONT></P>' f: t$ r, n2 M' F, r5 b
<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>6 h& Z' D4 i9 v1 J: K
<P ><FONT face="Times New Roman"><FONT size=3> <p></p></FONT></FONT></P>
9 u8 m" _8 T+ l ?. X. X+ Z& w<P ><FONT size=3><B>超声描述:</B><B><p></p></B></FONT></P>
4 t4 W) @6 f+ G" P<P ><FONT size=3>新生儿动脉导管未闭。<p></p></FONT></P>7 ] N" h" W( i: @( q7 O2 O
<P ><FONT size=3>卵圆孔未闭。<p></p></FONT></P>; }$ t. J: u4 `
<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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