<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>
8 g9 e" `; h G# L5 [0 S<P >左房<FONT face="Times New Roman"> 23MM</FONT></P>4 i; W/ t" i. j4 g, W+ u
<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>
: D( p: W) ], c3 |<P >室间隔厚度<FONT face="Times New Roman">5mm</FONT></P>5 ?4 P5 j# i, N' c
<P >主动脉<FONT face="Times New Roman">17mm</FONT></P>+ u8 T) ~/ d" g s5 m
<P >肺动脉<FONT face="Times New Roman">16mm</FONT></P>$ Q. C( c# G0 S) z& l! D
<P ><FONT face="Times New Roman"> <p></p></FONT></P>0 n0 E# X/ B& t% d: ]
<P >左心功能<p></p></P>1 w& b$ O# Q3 z( }
<P >收缩末期容量<FONT face="Times New Roman"> ESV 17ML</FONT></P>. j* x0 b: W- n
<P >舒张末期容量<FONT face="Times New Roman"> EDV 39ML</FONT></P> Y, M0 B# z+ ~% a- X, s
<P >心博量（<FONT face="Times New Roman">SV</FONT>）<FONT face="Times New Roman"> 22ML</FONT></P>' r( I! y" V& v* a
<P >心输出量（<FONT face="Times New Roman">CO</FONT>）<FONT face="Times New Roman"> 2.5L</FONT></P>
2 P5 c, U7 Q# E& t<P >射血分数（<FONT face="Times New Roman">EF</FONT>）<FONT face="Times New Roman"> 56%</FONT></P>2 K% F2 o" j! y4 b( k% D* [
<P >短轴缩短率（<FONT face="Times New Roman">FS</FONT>）<FONT face="Times New Roman"> 28%</FONT></P>
7 d! B. m Z! v6 @; H0 @7 o, S<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>8 ~& ~& T" C) }; v( L
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
[ r* N0 ~3 \, B. [<P >彩色多谱勒血流<p></p></P>5 ~: A$ d5 D/ L: u
<P ><FONT face="Times New Roman">MVmaxV 65cm/s</FONT></P>9 ?4 a9 o/ j: m- q
<P ><FONT face="Times New Roman">TVmaxV 78cm/s</FONT></P>
" @# V- Q: B. {# A4 [3 S8 o$ w<P ><FONT face="Times New Roman">PAmaxV 200 cm/s</FONT></P>
% Z' t9 @2 }$ g6 x. i<P ><FONT face="Times New Roman">AO maxV 85 cm/s</FONT></P>
& v9 P( ?' [% v# j3 L<P >返流<p></p></P>4 W2 p1 ]' S8 L" Q- K( j% |1 {# [
<P >二尖瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>1 m, z; |& M5 m! ~ C2 L8 O1 f4 o
<P >三尖瓣口<FONT face="Times New Roman"> 200 cm/s</FONT></P>1 w7 ^( a" T* i
<P >肺动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>3 C; m- L5 z: C+ ~5 ]9 Q9 a
<P >主动脉瓣口<FONT face="Times New Roman"> / cm/s</FONT></P>7 d. {; y% q. E( p$ F
<P ><FONT face="Times New Roman"> <p></p></FONT></P>% Y0 T' {& w% N5 ?
<P >分析</P>! ~. Q7 v4 n0 r
<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>
: b( m$ b6 |( \<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>* P- b1 Y7 `0 ~9 L' [& f
<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>/ M7 h" I# D/ a$ i) o
<P >肺动脉血流建（）（）快，三尖瓣口上反流束</P>5 ~. ]$ X& L( L* C
<P ><B >超生诊断<p></p></B></P>
3 Z2 I9 h; c9 }<P >先心病</P>
8 z( ?4 _8 D- L; Z<P >右心扩大</P>
8 c# j- @) e3 q9 q6 ]3 d' Y4 x3 a! P<P >部分肺静脉异位分流可能性大</P>
7 t3 H# N* N4 A& |5 k6 ?) D<P >上腔型房间隔缺损不除外</P>
' A6 a* [, {" l' I. ?5 W<P >冠状静脉（窦）扩张</P>2 } a- j, O& H+ q+ F1 R0 [
<P >三尖瓣反流</P>/ U, k0 O4 r* A1 e9 [
<P >建议进一步检查</P>- C$ k" n/ {, K! C+ Y
<P ><FONT face="Times New Roman"> （注，括号中为医生所写看不太清的字）</FONT></P>
) N5 [" h- g8 d* E<P ><FONT face="Times New Roman"></FONT> </P>
# V3 j8 N' I5 V: I; A<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>5 |* n8 s; ^3 C2 p* m
<P ><FONT face="Times New Roman">感谢！!！</FONT></P> |
IP卡
发表于 2006-2-20 07:47:16
提升卡
置顶卡
锁帖卡
变色卡
千斤顶
发表于 2006-2-21 03:08:06
