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Просмотр полной версии : After inspection of my daughter by age 12 in Regional children's diagnostich...



Tatyana
28.07.2004, 18:55
After inspection of my daughter by age 12 in the Regional children's diagnostic center of Krasnodar in October 2001. The cardiosurgeon has made the following conclusion: secondary defect of an interatrial septum (small), has not found out attributes of a pulmonary hypertensia and has suggested to seem in a year. Speech about operation did not go. The cardiosurgeon has allowed to be engaged to the girl in physical culture at school.
Indications of US: software 4035, KDO = 60, UO = 45
Cavities of heart (KDR l.. =3, 8 KRS l.. =2, 1
LP = 2, 4, PZH = 2, 1. Thickness ZSLZH 0, 8, thickness MZHP 0, 7. (the right departments of heart are slightly increased).
Character of movement interventricular peregorodki-acritical
The continuity aortoseptalnogo soedinenija-is saved
Aorta with the valve: the root of an aorta 2, 5 is not changed
Amplitude of disclosing of cusps in systole N, cusps not utolshcheny
The mitral valve: visually it is not changed
Pulmonary artery: 1, 9
C ability of a myocardium (FI-75, 3 %, S-43, 4 %) - is not lowered.
Reaction NPV to the certificate or act davlenija-is saved.
Interatrial peregorodka-defect in sr/z-13 is visualized.
D-EHOKG: 1) dump from LP in software, 2) a regurgitation on TK 2 "+", 3) pressure in PZH/S (it is written illegibly)
- 34. Hg
The conclusion: VPS, DMPP secondary (13).
The cardiogram: the Respiratory arrhythmia on a background of a sinoatrial rate, incomplete blockade pr. Legs or pinches of item Gisa.
On the previous US inspection in a Novorossisk (month earlier) the doctor of US has written, that there are attributes of a pulmonary hypertensia, the sizes of the right departments of lungs are increased. Has told or said, that it is necessary for child to do or make operation and to not pull.
The doctor, tell or say, to that to believe? And whether it is necessary to hurry with operation? Whether Is urebenka according to inspection in Regional DDTS attributes of a pulmonary hypertensia? What can change in a year? Whether it is possible for the girl to be engaged in physical culture? Zarannee I thank.

Sharykin A.S.
29.07.2004, 20:27
For the child of 12 years DMPP of 13 mm is an average size. DMPP in general it is seldom accompanied by a high pulmonary hypertensia, more often - augmentation of volume of the blood which are passing or are taking place through lungs. On the data resulted or brought by you it is possible to speak about a pulmonary hypervolemia (the increased blood flow) and the SMALL pulmonary hypertensia. Promptness in operation is not present, the estimation of a status of heart and lungs in dynamics or changes, in particular, according to roentgenography of a thorax (whether the pulmonary blood flow, the sizes of heart, etc. increases or is enlarged) however is necessary. If there is adverse dynamics or changes, operation is shown.