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<P >我的宝宝在半岁时,被诊断为先天性心脏病,超声诊断结果如下:</P>
9 E: @- w( q) A) y7 U. r<P ><FONT face="Times New Roman"> </FONT>主动脉内径<FONT face="Times New Roman">10mm</FONT>,</P>
1 Q. M4 S u* z, D<P ><FONT face="Times New Roman"> </FONT>左房前后径<FONT face="Times New Roman">10mm</FONT>,左房长/横径:<FONT face="Times New Roman">24</FONT>/<FONT face="Times New Roman">13mm</FONT>,右房长/横径:<FONT face="Times New Roman">23</FONT>/<FONT face="Times New Roman">13mm</FONT>,</P>
( K# N5 Y% [ I8 E, }& h<P ><FONT face="Times New Roman"> </FONT>左室前后径(舒张/收缩)<FONT face="Times New Roman">18</FONT>/<FONT face="Times New Roman">11mm</FONT>,</P>0 C( }# N/ M* i X, R8 N
<P ><FONT face="Times New Roman"> </FONT>左室横径(舒张/收缩)<FONT face="Times New Roman">19</FONT>/<FONT face="Times New Roman">11mm</FONT>,</P>2 c* g/ ?! l, K9 [
<P ><FONT face="Times New Roman"> </FONT>左室长径(舒张/收缩)<FONT face="Times New Roman">31</FONT>/<FONT face="Times New Roman">22mm</FONT>,</P>
0 ?, F- h8 k4 d; p* o$ M<P ><FONT face="Times New Roman"> </FONT>右室前后径<FONT face="Times New Roman">13mm</FONT>,右室长/横径:<FONT face="Times New Roman">24</FONT>/<FONT face="Times New Roman">13mm</FONT>,</P>% x, C' S" C* l
<P ><FONT face="Times New Roman"> </FONT>室间隔厚度/幅度:<FONT face="Times New Roman">3</FONT>/<FONT face="Times New Roman">4mm</FONT>,与后壁呈逆向运动,</P>! i' X+ I$ } k! v# c6 V* a
<P ><FONT face="Times New Roman"> </FONT>左室后壁厚度/幅度:<FONT face="Times New Roman">4</FONT>/<FONT face="Times New Roman">4mm</FONT>,</P>
9 q, N6 X6 r$ O u1 y$ u9 j<P ><FONT face="Times New Roman"> </FONT>右室流出道内径<FONT face="Times New Roman">12mm</FONT>,肺动脉内径<FONT face="Times New Roman">8mm</FONT>,</P>
; W, Q2 ~9 `& G9 `" A<P ><FONT face="Times New Roman"> </FONT>射血分数<FONT face="Times New Roman">75</FONT>%,短轴缩短率<FONT face="Times New Roman">41</FONT>%,</P>
5 ~1 }- F# m5 y<P ><FONT face="Times New Roman"> </FONT>每搏量(<FONT face="Times New Roman">SV</FONT>)<FONT face="Times New Roman">mL</FONT>,每分量(<FONT face="Times New Roman">CO</FONT>)<FONT face="Times New Roman">L/</FONT>分,</P>
7 w" U- u* i6 N+ P! n) `2 I: z<P ><FONT face="Times New Roman"> </FONT>跨三尖瓣压力阶差<FONT face="Times New Roman">mmHg</FONT>,肺动脉收缩压<FONT face="Times New Roman">mmHg</FONT>,</P>
1 v* f9 E4 c5 j/ F! r<P ><FONT face="Times New Roman"> EDVI:ml/mxm,ESVI:ml/mxm</FONT>。</P>
# U% s2 Z2 d' n<P ><FONT face="Times New Roman"> 1</FONT>、房间隔中部连续中断,缺损大小约<FONT face="Times New Roman">5mm</FONT>。彩色血流示:房水平左向右五彩分流束,束宽<FONT face="Times New Roman">5mm</FONT>,频谱多普勒于房缺口右侧记录到正向分流频谱,分流速度<FONT face="Times New Roman">1.1m/s</FONT>,分流时间<FONT face="Times New Roman">0.23</FONT>秒。</P>
( ~9 t: }5 w' u9 r+ C; [ A9 ] g<P ><FONT face="Times New Roman"> 2</FONT>、右房、右室扩大,余心腔大小及大血管内径正常。</P>
- g/ c; h+ A, n& |- Z7 P<P ><FONT face="Times New Roman"> 3</FONT>、各瓣膜厚度、弹性及开放幅度正常。彩色血流未见异常。</P>
' d/ ~9 X$ ^0 D" H& `2 D% y! l<P ><FONT face="Times New Roman"> 4</FONT>、室间隔及左室后壁厚度及搏幅正常。</P> U$ I5 E6 f2 ^; E0 n7 @4 l, x
<P ><FONT face="Times New Roman"> 5</FONT>、左室<FONT face="Times New Roman">EF</FONT>及<FONT face="Times New Roman">FS</FONT>正常。</P>& z0 V% h. a: {; |8 J
<P >超声提示:</P># U) m; X. }4 @1 J6 F2 K
<P ><FONT face="Times New Roman"> </FONT>先天性心脏病:</P>- M2 e: F( z% O- H/ r. [0 Y: [: ]
<P ><FONT face="Times New Roman"> 1</FONT>、房间隔缺损或卵圆孔未闭。</P>
! m9 p, h8 v, c5 C2 f" Y* r9 L. e1 P<P ><FONT face="Times New Roman"> 2</FONT>、右心扩大。</P>
6 i9 c. z- w; `0 B7 K q. d. v<P ><FONT face="Times New Roman"> 3</FONT>、彩色血流示:房水平左向右分流。</P>
# ~$ {6 R/ c/ f; v) Z* o<P ><FONT face="Times New Roman"> </FONT></P>
3 L1 k4 [' i; ?<P ><FONT face="Times New Roman"> </FONT>我的宝宝现在已经<FONT face="Times New Roman">3</FONT>岁了,还未做过复查,从宝宝的精神和体质来看一切都很正常,未表现出异常。</P>
) s% y; ?; J. d2 y<P ><FONT face="Times New Roman"> </FONT>请问专家:<FONT face="Times New Roman">1</FONT>、房缺是否会随年龄的增长而增大?</P>
; f& _1 w2 m( y* D* N1 w<P ><FONT face="Times New Roman"> 2</FONT>、此情况是否需要手术治疗,若需要手术应采用何种方式,手术风险大吗?</P>: u5 D2 o" w8 e. \& i# W
<P > 3、“右心扩大”是何意思?</P> |
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