我儿的两份心脏彩超检测报告

liqiuchan

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9 S. n, @7 O) p+ n! T2 r<P ><FONT size=3>上海儿童医学中心全体医生你们好，我儿<st1:chsdate Year="2004" Month="11" Day="19" IsLunarDate="False" IsROCDate="False" w:st="on"><FONT face="Times New Roman">2004</FONT>年<FONT face="Times New Roman">11</FONT>月<FONT face="Times New Roman">19</FONT>日出生</st1:chsdate>，于<st1:chsdate Year="2006" Month="1" Day="26" IsLunarDate="False" IsROCDate="False" w:st="on"><FONT face="Times New Roman">2006</FONT>年<FONT face="Times New Roman">1</FONT>月<FONT face="Times New Roman">26</FONT>日</st1:chsdate>在苏州大学附属儿童医院做第一次心脏超声检查。<FONT face="Times New Roman">              <p></p></FONT></P>
<P ><FONT size=3>超声类型：<FONT face="Times New Roman">M</FONT>型<FONT face="Times New Roman">2D</FONT>多普勒，单位<FONT face="Times New Roman">:MM.</FONT>初步报告下：<FONT face="Times New Roman">                                                      <p></p></FONT></FONT></P>
2 t5 N* @0 q& @) W, J- x5 z& B<P ><FONT size=3>主要测值：右室流出内径<FONT face="Times New Roman">20.4</FONT>，主动脉根部内径<FONT face="Times New Roman">14.6</FONT>，左房内径<FONT face="Times New Roman">23.5</FONT>，左室舒张末期内径<FONT face="Times New Roman">35.5</FONT>，左室收缩末期内径<FONT face="Times New Roman">21.7</FONT>，室间隔厚度<FONT face="Times New Roman">5.8</FONT>，左室后壁厚度<FONT face="Times New Roman">5.3</FONT>，主肺动脉内径<FONT face="Times New Roman">15.8</FONT>，左冠状动脉起始段内径。<FONT face="Times New Roman">                                                      <p></p></FONT></FONT></P>
* C" A; A% C" h. Y" {7 ?( i6 p; O<P ><FONT size=3>声像描述：<FONT face="Times New Roman">1.</FONT>心脏位置及大血管连接正常，左位主动脉弓。<p></p></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">2.</FONT>左房<FONT face="Times New Roman">.</FONT>左室增大<FONT face="Times New Roman">,</FONT>室间隔<FONT face="Times New Roman">.</FONT>左室后壁厚度<FONT face="Times New Roman">.</FONT>活动度可<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
  }1 x- i7 N; z% @2 b<P ><FONT size=3><FONT face="Times New Roman">3.</FONT>室间隔膜周部（流出道<FONT face="Times New Roman">+</FONT>肌小梁）见回声缺失，约<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="6.5" UnitName="mm"><FONT face="Times New Roman">6.5MM</FONT></st1:chmetcnv>，缺损口见膜样组织覆着，<FONT face="Times New Roman">CDFI</FONT>示：缺损处左向右分流，部分经三尖瓣口漏入右房，<FONT face="Times New Roman">CW</FONT>：<FONT face="Times New Roman">Vmax=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.38" UnitName="m">2.38m</st1:chmetcnv>/s,p=22.7mmHg</FONT>。<p></p></FONT></P>
. m0 P  ]* q7 a; I" t<P ><FONT size=3><FONT face="Times New Roman">4.</FONT>房间隔中部见卵圆孔位闭。<p></p></FONT></P>
" i! y( Y* }1 l+ H<P ><FONT size=3><FONT face="Times New Roman">5.</FONT>两组半月瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒在瓣口探及正常层流频普。<p></p></FONT></P>
- o1 J; w% [+ `, e1 K3 |% M<P ><FONT size=3><FONT face="Times New Roman">6.</FONT>二<FONT face="Times New Roman">.</FONT>三尖瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒三尖瓣口见轻度返流，压差<FONT face="Times New Roman">P=38.5mmHg</FONT>。<FONT face="Times New Roman">                                                                                 <p></p></FONT></FONT></P>
& x% y' `) [. E# v" g$ ~2 g0 s<P ><FONT size=3>超声印象：先天性心脏病：<FONT face="Times New Roman">1.</FONT>室间隔缺损（膜周部）；<FONT face="Times New Roman">2.</FONT>卵圆孔未闭；<FONT face="Times New Roman">3.</FONT>肺动脉高压（轻度）。医生的建议是随访。<FONT face="Times New Roman">       <p></p></FONT></FONT></P>
: {  Y+ X5 h# o0 p<P ><FONT size=3>心电图为窦性心律。心跳<FONT face="Times New Roman">105</FONT>次<FONT face="Times New Roman">/1</FONT>分钟<FONT face="Times New Roman">.                         <p></p></FONT></FONT></P>
. b# p! }) B% r& f<P ><FONT size=3>第二次于<st1:chsdate Year="2006" Month="4" Day="25" IsLunarDate="False" IsROCDate="False" w:st="on"><FONT face="Times New Roman">2006</FONT>年<FONT face="Times New Roman">4</FONT>月<FONT face="Times New Roman">25</FONT>日</st1:chsdate>在同一家医院做心超检查<FONT face="Times New Roman">.</FONT>报告如下<FONT face="Times New Roman">:<p></p></FONT></FONT></P>
<P ><FONT size=3>超声类型<FONT face="Times New Roman">:M</FONT>型<FONT face="Times New Roman"> 2D </FONT>多普勒<FONT face="Times New Roman">.</FONT>单位<FONT face="Times New Roman">:MM<p></p></FONT></FONT></P>
<P ><FONT size=3>主要测值：右室流出内径<FONT face="Times New Roman">19.8</FONT>，主动脉根部内径<FONT face="Times New Roman">14.8</FONT>，左房内径<FONT face="Times New Roman">19.1</FONT>，左室舒张末期内径<FONT face="Times New Roman">35.6</FONT>，左室收缩末期内径<FONT face="Times New Roman">20.9</FONT>，室间隔厚度<FONT face="Times New Roman">4.7</FONT>，左室后壁厚度<FONT face="Times New Roman">4.3</FONT>，主肺动脉内径<FONT face="Times New Roman">(</FONT>此次无数据<FONT face="Times New Roman">)</FONT>，左冠状动脉起始段内径。<FONT face="Times New Roman"> <p></p></FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">  </FONT>声像描述：<FONT face="Times New Roman">1.</FONT>心脏位置及大血管连接正常，左位主动脉弓<FONT face="Times New Roman"> .<p></p></FONT></FONT></P>
/ r0 M8 g4 g0 \2 U<P ><FONT size=3><FONT face="Times New Roman">  2.</FONT>左房<FONT face="Times New Roman">.</FONT>左室增大<FONT face="Times New Roman">,</FONT>室间隔<FONT face="Times New Roman">.</FONT>左室后壁厚度<FONT face="Times New Roman">.</FONT>活动度可<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">3.</FONT>室间隔膜周部（流出道<FONT face="Times New Roman">+</FONT>肌小梁）见回声缺失，约9.8<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="6.5" UnitName="mm"><FONT face="Times New Roman">MM</FONT></st1:chmetcnv>，缺损口见膜样组织覆着，<FONT face="Times New Roman">CDFI</FONT>示：缺损处左向右分流，<FONT face="Times New Roman">CW</FONT>：<FONT face="Times New Roman">Vmax=<st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="2.44" UnitName="m">2.44m</st1:chmetcnv>/s,p=23.9mmHg</FONT>。<p></p></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">4.</FONT>房间隔完整<FONT face="Times New Roman">,</FONT>多普勒探测无异常<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
: y+ V3 f, L- ]' ?<P ><FONT size=3><FONT face="Times New Roman">5.</FONT>两组半月瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒在瓣口探及正常层流频普。<p></p></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">6.</FONT>二<FONT face="Times New Roman">.</FONT>三尖瓣形态<FONT face="Times New Roman">.</FONT>活动可，多普勒三尖瓣口见轻度返流，压差<FONT face="Times New Roman"><st1:chmetcnv w:st="on" TCSC="0" NumberType="1" Negative="False" HasSpace="False" SourceValue="57.7" UnitName="mm">57.7MM</st1:chmetcnv>.<p></p></FONT></FONT></P>
, I) J! _, c! `* X7 l" H<P ><FONT size=3>超声印象：先天性心脏病：<p></p></FONT></P>
( O2 p% ?+ B2 q9 ^<P ><FONT size=3><FONT face="Times New Roman">1.</FONT>室间隔缺损（膜周部）；<p></p></FONT></P>
8 q" z* H3 C" C: e. Q<P ><FONT size=3><FONT face="Times New Roman">                 2.</FONT>肺动脉高压<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">                 </FONT>建议是随访<p></p></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">          </FONT>心电图为窦性心律<FONT face="Times New Roman">&lt;</FONT>快速<FONT face="Times New Roman">&gt;</FONT>心跳<FONT face="Times New Roman">135/1</FONT>分钟<FONT face="Times New Roman">.<p></p></FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">   </FONT>对以上两次的检测报告所测数据的变化我感觉迷茫<FONT face="Times New Roman">!</FONT>故在此跪求那位专家帮我分析一下是否有疑虑<FONT face="Times New Roman">?</FONT>如果没有疑虑的话像这种情况是否要动手术<FONT face="Times New Roman">?</FONT>手术费大概多少<FONT face="Times New Roman">?</FONT>还有一点他的隆胸是否跟先心病有关<FONT face="Times New Roman">?   </FONT>跪谢<FONT face="Times New Roman">!<p></p></FONT></FONT></P></FONT></FONT>

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陆医生

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