<P >右室<FONT face="Times New Roman"> </FONT>流出道；<FONT face="Times New Roman">29MM </FONT>舒张径；<FONT face="Times New Roman">23MM</FONT></P>, s3 C$ u# A6 B2 M7 r9 I0 ]
<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>
3 h5 v4 u6 i* @( N0 H<P >左室<FONT face="Times New Roman"> </FONT>收缩末期<FONT face="Times New Roman"> 22mm </FONT>舒张末期<FONT face="Times New Roman">31mm </FONT>后壁厚度<FONT face="Times New Roman">5mm</FONT></P>
4 [" X4 j# x: x% c( h<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>
2 \2 \- i" O6 s# e2 Y<P >主动脉<FONT face="Times New Roman">17mm</FONT></P>- S5 A* ~ `! o4 ^9 C1 F
<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P>
* X7 p' A$ C1 p; `0 m! D" x<P ><FONT face="Times New Roman"> <p></p></FONT></P>
5 B/ M' S( t/ e, w% w1 u( l<P >左心功能<p></p></P>
/ V/ S/ F8 _$ y% k0 m& }<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P>
& {* c5 A- f: l, d( {. B/ t9 ^<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P>
4 }1 I1 I1 d0 x6 _5 l# Z<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P>
! P6 Q1 J; ~9 w# ~+ Q! U( r7 j<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>- a, F1 K- u4 \5 F5 F7 q( a
<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>: w x3 L2 M2 z8 z$ T2 J3 A- i5 h
<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>
f0 k; v4 `, O o4 z% |<P >心率（<FONT face="Times New Roman">HR</FONT>）<FONT face="Times New Roman"> 113</FONT>次<FONT face="Times New Roman">/</FONT>分</P>1 E) P/ S4 N& G; ~
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
1 V: X3 i+ R: p" V9 |9 r<P >彩色多谱勒血流<p></p></P>: x( I9 V( J9 Q& `
<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>
7 k2 G6 i0 K' b$ w' J9 C<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>
. J/ I2 m* S2 _<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>
2 R6 i* o8 O8 G8 E. R/ z<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>8 ~7 V/ [" B( c) q* L
<P >返流<p></p></P>
& F5 V5 Y6 ^% |8 U! A8 I0 q$ E8 b% D<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
0 k1 T. l* W( @! W+ A2 r, e: o* @( v<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P># B5 V* A& X% r8 W- _
<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>
7 d8 ~, E( g: O, K<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>3 ?8 K# y* ~* L$ [3 A; i f* n
<P ><FONT face="Times New Roman"> <p></p></FONT></P>4 U- C4 x. j% B' r
<P >分析</P>
6 L5 [: [* T( K6 K. S<P >心房正位<FONT face="Times New Roman"> </FONT>心室右（柈<FONT face="Times New Roman"> </FONT>）大血管位置正常<p></p></P>
: A3 u* |3 Z" o2 h+ X9 B f+ E<P >右心扩大<FONT face="Times New Roman"> </FONT>肺动脉（坢）塞<FONT face="Times New Roman"> </FONT>心尖四腔切面，见左上下肺静脉汇入左房，右上肺静脉显示不满意未汇入左房，冠状静脉窄扩张<FONT face="Times New Roman">0.9 cm</FONT>，室间隔连续良好，各瓣膜浮动形态正常，室壁厚度正常，右室壁主动增强</P>% f' C7 T8 P* p; G/ H' l2 |0 ?
<P ><FONT face="Times New Roman">CDF2</FONT>，<FONT face="Times New Roman">CW</FONT>，<FONT face="Times New Roman">PW</FONT>：心尖五腔房间隔顶部上<FONT face="Times New Roman">C-R</FONT>红色穿隔血流束，流束宽<FONT face="Times New Roman">0.9 cm</FONT>，<FONT face="Times New Roman">V=139 cm/s</FONT></P>5 A/ t, J! L, [+ k. F
<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>
5 g1 j. Y. h- P<P ><B >超生诊断<p></p></B></P>
' V1 f% e# L& a" E7 q5 M<P >先心病</P>
. `, p" J L9 Y+ w+ B/ G<P >右心扩大</P>
/ j6 j/ p' w8 |5 M3 h<P >部分肺静脉异位分流可能性大</P>" V" v3 U9 N7 A% H, ^
<P >上腔型房间隔缺损不除外</P>" l* \# G. c& m
<P >冠状静脉（窦）扩张</P>- n w6 \; ]* J$ V1 G
<P >三尖瓣反流</P>2 u( k( X$ }0 O2 ?9 q/ i: |+ K# d
<P >建议进一步检查</P># W5 w5 p" k7 x+ `1 u
<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>
& E( X$ T6 D$ c% d- g<P ><FONT face="Times New Roman"></FONT> </P>
7 n0 {% {/ ~* U; b7 a8 r3 o) k<P ><FONT face="Times New Roman">请医生和大家帮帮忙看看我儿子房缺0.5cm+肺静脉异位+三尖瓣反流，三种情况严重吗，手术是不是比较复杂，可不可以做介入？儿子体重35，身高1.05，体质好，不常感冒</FONT></P>) \" j- L, m* N( K
<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
IP卡
发表于 2006-2-20 07:47:16
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千斤顶
发表于 2006-2-21 03:08:06
