紧急咨询房间隔缺损

eilleen

小儿刚刚满60天(出生体重2.85KG,现在体重6公斤), 我们在前两天体检过程中发现他有房间隔缺损, 杭州儿保医院的检查结果如下:
% t/ Z! z1 ^: j+ T4 W, d/ H<DIV><FONT face=Arial></FONT> </DIV>
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3 O. e, |. E# f<DIV><FONT face=Arial color=#0000ff>M型测量(CM):</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>AO  1.13     LA 1.25     LV2.30</FONT></DIV>
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( ?# k1 M6 {$ C3 x9 B1 b2 i! W# L<DIV><FONT face=Arial color=#0000ff>二维检查:</FONT></DIV>
+ e1 r& V$ e4 ~<DIV><FONT face=Arial color=#0000ff>1. 剑下及心尖四腔切面见房间隔中部回声失落DIA0.45CM, 位继发孔,左房内见肺静脉汇入.</FONT></DIV>
6 a7 R( S4 J% E9 |<DIV><FONT face=Arial color=#0000ff>2. 室间隔完整, 未见未闭动脉导管</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>3. 各瓣膜回声及活动未见异常</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>4. 心脏大血管位置正常, 主动脉弓降部未见明显缩窄</FONT></DIV>
2 k1 f* q6 f1 P3 D<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>脉冲多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面: SV置于房间隔缺损处见舒张期为主向上湍流频谱.</FONT></DIV>
$ h- k$ b5 ^# F3 B3 X<DIV><FONT face=Arial color=#0000ff>肺动脉峰值流速1.03M/S, 平均流速0.65M/S, VTI0.15M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>主动脉峰值流速1.21M/S, 平均流速0.86M/S, VTI0.19M</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>心尖四腔切面: SV置于三尖瓣口右房侧见收缩期向下湍流频谱</FONT></DIV>
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<DIV><FONT face=Arial color=#0000ff>彩色多普勒:</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>剑下及心尖四腔切面见房间隔水平红色血流束从左房入右房</FONT></DIV>
+ Y, ]; `5 ^) J& E& D<DIV><FONT face=Arial color=#0000ff>胸骨旁及心尖四腔切面三尖瓣水平见蓝色血流束从右室入右房</FONT></DIV>
$ `+ y, L. v8 r. o6 e* w$ b<DIV><FONT face=Arial color=#0000ff></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff>超声诊断:</FONT></DIV>
0 L/ q8 T( D7 w9 Q2 C+ Q1 `<DIV><FONT face=Arial color=#0000ff>先天性心脏病</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>房间隔缺损(继发孔DIA0.45CM)</FONT></DIV>
<DIV><FONT face=Arial color=#0000ff>三尖瓣轻度返流</FONT></DIV>
/ T' T0 M9 |; g1 C/ E1 v<DIV><FONT face=Arial></FONT> </DIV>
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2 Q+ c* ?; g" P; ?9 m<DIV><FONT face=Arial>我们非常着急, 能否在百忙之中请您帮忙解答以下问题:</FONT></DIV>
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5 K) Y6 Y# \/ e  B<DIV><FONT face=Arial>(1)小儿的这种状况严重吗?需要手术吗?</FONT></DIV>
6 k. x% Y5 W+ F4 o. W. f<DIV><FONT face=Arial></FONT> </DIV>
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<DIV><FONT face=Arial>(2)</FONT><FONT face=Arial>有没有自己愈合的可能性?</FONT></DIV>