PDA

Просмотр полной версии : Hello! To our kid 2, 5 months. At it or him congenital defect serd...



Vasily
21.08.2004, 01:37
Hello!

To our kid 2, 5 months.
At it or him a congenital heart disease established or installed since the birth. Weight at a birth 4, 450 kg, and now 5, 500 kg. It is very badly typed or collected in weight, to us put an oligotrophy of 1 degree. Bad appetite.
We are observed at the doctor of the rheumatologist and time to us comes to a month the children's pediatrist. I very much experience for the kid.
Tell, please at what age it is desirable to perform operation? And how much or as far as it is complex or difficult defect.
Current of defect is how much dangerous?
What are possible or probable changes in an organism at the child and how they are dangerous?
How spent operations and how passes or takes place the postoperative period are dangerous?

At passage of inspection.

Echo of KG the conclusion: cavities of heart are not increased.
Peremembranoznyj defect of an interventricular septum in diameter 3, 5 4 mm. Defect of an interatrial septum in diameter of 5 mm in the field of an oval window.
Trikuspidalnaja a regurgitation 1 items the Gradient of pressure PZH/LA of 28 33 mm hg Additional hordav a left ventricle.
Electrocardiogram the conclusion: a rhythm sinusovyj, an axis a vertical insignificant hypertrophy of a left ventricle.
Ro a pulmonary drawing: obogashchen in roots. On the right superposition of a thymic gland on a contour of a vascular fascicle.
Departments of heart - SLK - 0, 62: the right auricle, a right ventricle an aorta without visible features are increased.

Current of defect.

Bad appetite, regurgitation, frequent tussis, oligotrophy 1 items
At inspection in 1, 5 months the intimate or cardiac back hollow was absent, now (in 2, 5 months) put presence of a small intimate or cardiac back hollow.
The cyanosis is not defined or determined.
Otdyshka with vtjazhenie intercostal spaces.
Tone 1 yj is not changed, 2 is oh strengthened above a pulmonary artery.
Tremor a systolic epicentre in 3 I eat m/r with it is left from a breast bone.
Hums a rasping systolic epicentre 3 m/r with it is left from a breast bone.
Pulse weakened or easied on radial and femoral arteries.

BP on arms or hand 90/60 ch. With. With. 160 ud/minutes, ch. d. 62 in minutes
Liver + 2, 5 see
The lien is not increased.

Yours faithfully Vasily.

Bystrova E.V.
22.08.2004, 10:37
Dear Vasily, weight of the baby while is small for carrying out of operation. It is desirable a little podnabrat weight. The age of carrying out of operation is defined or determined by a status of the child and current of defect. In occasion of operation - in Bakulevskom from carry out at the highest level. Moreover, small DMPP close endovaskuljarno (without opening grudenoj cells).