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<P>我是一位非常焦急的母亲,我的女儿05年11月5号出生,出生体重6.5斤,35天肺炎住院做了心脏彩超,确诊先天性心脏病,房缺+室缺+肺动脉高压(中度),当时体重7.6斤,下面是在我们当地省儿童医院做的心脏彩超报告单:</P>
( |- U4 w5 U/ | {( W6 m<P >心脏二维、<FONT face="Times New Roman">M</FONT>型、频谱多普勒血流测值:<p></p></P>+ w: l6 W2 N: Y B
<P >主动脉:窦部<FONT face="Times New Roman">8mm</FONT>,主干<FONT face="Times New Roman">7mm</FONT>,左心房:<FONT face="Times New Roman">18mm</FONT>。左心室<FONT face="Times New Roman">21mm</FONT>,室间隔:<FONT face="Times New Roman">4mm</FONT>,左室后壁<FONT face="Times New Roman">4mm</FONT>,右房<FONT face="Times New Roman">20mm</FONT>,右室<FONT face="Times New Roman">18mm,</FONT>,<p></p></P>, c$ `5 C/ w% R# O) K
<P >肺动脉<FONT face="Times New Roman">12mm<p></p></FONT></P>2 ~" \+ B' z5 a9 V1 k8 k& x
<P >肺动脉:<FONT face="Times New Roman">Vmax201cm/s</FONT>,<FONT face="Times New Roman">AT60ms</FONT>,<FONT face="Times New Roman">ET330ms</FONT>。<p></p></P> Z+ |6 H; j7 U
<P >主动脉:<FONT face="Times New Roman">Vmax98cm/s</FONT>。<p></p></P>6 j% D& Q/ K5 a3 K
<P >二尖瓣:<FONT face="Times New Roman">E</FONT>峰<FONT face="Times New Roman">149cm/s</FONT>。<FONT face="Times New Roman">A</FONT>峰<FONT face="Times New Roman">148cm/s</FONT>。<p></p></P>
3 l/ i6 t' ?2 k, W<P >左心室收缩功能测定:<FONT face="Times New Roman">FS</FONT>:<FONT face="Times New Roman">34.7%</FONT>,<FONT face="Times New Roman">EF</FONT>:<FONT face="Times New Roman">66.8%</FONT>,<FONT face="Times New Roman">SV</FONT>:<FONT face="Times New Roman">9.89ml</FONT>,<FONT face="Times New Roman">CO</FONT>:<FONT face="Times New Roman">1.3L/M</FONT>。<p></p></P>) C# w# ^ Z: z' l7 L# p) H! a0 {
<P >左房左室增大,肺动脉增宽,室间隔与左室后壁呈逆向运动。大动脉短袖及右室流出道切面膜部见室间隔回声中断,缺口大小约<FONT face="Times New Roman">7mm</FONT>(短袖),<FONT face="Times New Roman">6mm</FONT>(四腔),彩色多普勒见左向右血流信号<FONT face="Times New Roman">Vmax286cm/s</FONT>,压差约<FONT face="Times New Roman">29mmHg</FONT>,房间隔中部可见两处回声中断上部约<FONT face="Times New Roman">4.8mm</FONT>,下部约<FONT face="Times New Roman">3mm</FONT>,见左向右红色血流<FONT face="Times New Roman">Vmax127cm/s</FONT>,大血管排列正常未见交通支。<FONT face="Times New Roman">TV</FONT>:返流<FONT face="Times New Roman">RV</FONT>→<FONT face="Times New Roman">Ramax327cm/s</FONT>,压差<FONT face="Times New Roman">42mmHg</FONT>(估测肺动脉收缩压<FONT face="Times New Roman">52mmHg</FONT>)。心包及心包膜未见异常。<p></p></P># R. v. Y2 W- ~ u) H
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
9 S1 Z6 m, O( h v<P >超声提示(本报告仅供临床参考):<p></p></P>8 J6 U4 {6 f. ]3 [4 u. s9 `
<P >先天性心脏病<p></p></P>
1 R4 _9 x( l, z) H<P ><FONT face="Times New Roman"> </FONT>室间隔缺损(膜部)<p></p></P>
, B1 |1 L: ^: x$ u2 [2 S5 B<P ><FONT face="Times New Roman"> </FONT>房间隔缺损(筛孔型)<p></p></P>5 i+ \8 x, A9 M+ ?! I! _
<P ><FONT face="Times New Roman"> </FONT>肺动脉高压(中度)<p></p></P>
; r2 [% i) j2 D: _5 x<P ><FONT face="Times New Roman"> </FONT>左心收缩功能正常范围。<p></p></P>
7 V& O7 e* l9 V/ \5 w2 B- R<P>现在我们最担心的是肺动脉高压,当时住院10天后出院医生说肺炎控制住了但是还有小咳嗽,现在已经出院20多天了还有咳嗽吃消炎药,总怕孩子再感冒了,请ADMIN帮我看看:</P>
7 H9 F% W* C! l: ]<P>1. 我女儿的病情严重吗?室缺和房缺是否有自愈的可能?</P>1 q$ X9 ?, w) K# @7 B
<P>2. 肺动脉高压对我女儿的影响有多大?如果动手术的话什么时候到贵院动手术比较好?</P> |
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