t****o
发帖数: 342 | 1
春大侠也来捧场，多谢, 上次指点的预激综合征还历历在目，请有空的时候再多给讲arrythmia,谢拉～
这里是记下的答案，没有桥正过拼写，如果有错，还请大家指出，一起改正
1. What labs will you order to confirm the arrhythmia?
EKG, CXR-if with SOB
2. Name all the supraventricular tachycardia
sinus tachycardia, A fibrillation, A flutter, multifocal atrial tachycardia, atrioventricular reentrant tachycardia, atrioventricular reciprocating tachycardia, paroxysmal atrial tachycardia
3. Which of these tachycardia is associated with irregular rhythm?
multifocal atrial tachycardia, A |
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A******7
发帖数: 1920 | 2 不胜感激！
孕28周，B超显示一下胎儿的非正常发育状态，下面是B超结果，医生就提供了这些。已
经约了Genetic Counseling做进一步的B超和Echocardiogram, 在更详细的结果出来之
前，想请这里脑科和先心的专家们看看风险和婴儿出生后最坏的结果。
The Head Circumference is in the >97.5%ile
A vacuum verga is demonstrated on the study which is a normal variant
The left lateral ventrical in the fetal head is upper normal, measuring 0.
9cm
The right lateral ventrical is normal, measuring 0.5cm
The cistern magnum is upper normal in size, measuring 1.1cm
On several of the four chamber heart images there appears ... 阅读全帖 |
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l******i
发帖数: 73 | 3 你好。我是写这个贴子的LZ的朋友，也同样在为这个孩子奔忙。我手上译了一份英文的
病历。麻烦你问一下医生。人工二尖瓣叫mitral valve。病历如下：
English Medical Record:
Name: Qianrui Su Gender: female Birthday 2009-6-9
1. Congenital heart disease was found 35 days after the birth (CAVC,
complete atrioventricular canal), and she was treated by radical surgery of
CAVC at Shanghai Children’s Medical Centre on 2009-9-21. Echocardiography
after the surgery shows that ventricular septum and atrical septum are both
well repaired without shunt. Mitral valve is a li... 阅读全帖 |
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l******i
发帖数: 73 | 4 您好。我是LZ的朋友，也同样为这个孩子在奔忙。我手上有翻译的病历如下：
English Medical Record:
Name: Qianrui Su Gender: female Birthday 2009-6-9
1. Congenital heart disease was found 35 days after the birth (CAVC,
complete atrioventricular canal), and she was treated by radical surgery of
CAVC at Shanghai Children’s Medical Centre on 2009-9-21. Echocardiography
after the surgery shows that ventricular septum and atrical septum are both
well repaired without shunt. Mitral valve is a little narrow and mitral and
tricuspid valv... 阅读全帖 |
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A******7
发帖数: 1920 | 5 胎儿心脏房室间隔缺损，有没有这里的父母和准父母听说过。为什么20周B超一切正常
，28周却查出来了呢？ |
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t**********o
发帖数: 711 | 6 缺口有多大？比较小的话两岁之前都能自己痊愈。不是啥大事别担心！ |
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A******7
发帖数: 1920 | 7 没有写多大的缺口，就说有AVSD, 还不是简单的VSD 或者ASD。 做最坏打算吧。明天看
专科医生怎么安排再确查。 |
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o*****e
发帖数: 1096 | 8 现在娃还没发育好，以后不一定有事。这里查得很细，而且什么毛病都有个病名，弄得
紧张兮兮的。BIG BIG BLESS BABY!!! |
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R*********i
发帖数: 7643 | 9 Big bless! 做胎儿超声心动确诊了？如果确诊将来只能手术了。现在找个好点的小儿
心内医生。了解一下这位医生和哪家医院联系，将来心内医生一般会推荐到同一家医院
做手术。所以要先想好去哪儿手术，找周围小儿心内和心外都比较好的医院。
另外上海儿童医学中心心脏中心在国内是权威。他们接受网上咨询。http://www.ibabyheart.com/forum.php
你可以注册一个用户名把检查数据发过去咨询。他们的解释和这边应该基本一样。但是
用中文可能你会觉得听得更明白。
帮不上忙，唯有祝福！ |
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A******7
发帖数: 1920 | 10 目前只在2DB超里看到，Ob没有多说什么只推荐了当地最好的Maternal Fetal Medicine
和Genetic Consuling，做进一步确诊。需要预约，目前还在等他们电话。 |
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t****o
发帖数: 342 | 11 下面讲治疗, 是emergency时候的处理：
1.Treatment of atrial fibrillation (AFib) associated with Wolff-Parkinson-White syndrome
# The basic treatment principle in Wolff-Parkinson-White AFib is to prolong the anterograde refractory period of the accessory pathway relative to the atrioventricular node (AVN). This slows the rate of impulse transmission through the accessory pathway and, thus, the ventricular rate. This is in direct contradistinction to the goal of treatment of non–Wolff-Parkinson-White AFib, whic |
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