g*********o
发帖数: 456 | 1 国内的好朋友，前一段聊天突然听说她母亲心脏病恶化，在烦恼要不要做心脏移植，因
为听说这个病手术成功的概率并不高。想想我以前小时候还经常去她们家玩，很慈祥的
一位母亲，没想到会生这个病。以下是我帮她转发过来的询问，如果有人有这方面的信
息能分享，非常感谢！另外，我已经要求她尽量详细了，不过病历卡还在她母亲医院处
，她目前正在异地办辞职，所以只知道这些了。
“我妈2005年发现患有扩张性心肌病，当时的心脏大小为0.68，EP＝30%，具体
是发病时胸闷，喘不过气，严重的时候要住院治疗。前两年是一年住院一次，到2007年
频繁住院，气喘的次数更多了，发现心脏又扩大了，大小为0.70。医生有开一些利尿，
扩张血管的药物，因我妈血压低， 律不齐，医生检测是患有二度二型，无法用药物控
制心脏的扩大状况。现在心脏大小为0.71，EP＝28%，具体的症状是严重时无法呼吸，
喘气困难，任何耗费体力的事情都不能做，没有心疼，浮肿的现象，睡觉需半躺。没发
病时，与正常人一样，无其他状况，就是不能做任何事情。
问题：是否病情已到了很严重的地步？
目前的医疗手段有哪些？
如果进行心脏移植 | s****i
发帖数: 2993 | 2 those questions are too hard for people here without much
medical knowledge and can't exam the patient. | g*********o
发帖数: 456 | 3 唉，我也这么担心
那简单点说， 如果母亲生了这个病，需要心脏移植，但是医生告诉你手术成功率不高
，即使成功，能活多久也难说，手术费用15W，大家会怎么选择呢？做还是不做？ | f******I
发帖数: 769 | 4
cardiac transplant is not something that can be taken lightly, afterwards
you have to take immunosuppressants to prevent rejection, which could
patient at immunocompromised state,
for dilated non-ischemic cardiomyopathy, mostly still medical management,
not sure of her medical regimens are fine tuned enough, also she'd need an
AICD placement as well,
【在 g*********o 的大作中提到】
: 唉，我也这么担心
: 那简单点说， 如果母亲生了这个病，需要心脏移植，但是医生告诉你手术成功率不高
: ，即使成功，能活多久也难说，手术费用15W，大家会怎么选择呢？做还是不做？
| g*********o
发帖数: 456 | 5 Thanks~~虽然我不懂，不过我会转给她看看，多谢你的热心：）
【在 f******I 的大作中提到】
:
: cardiac transplant is not something that can be taken lightly, afterwards
: you have to take immunosuppressants to prevent rejection, which could
: patient at immunocompromised state,
: for dilated non-ischemic cardiomyopathy, mostly still medical management,
: not sure of her medical regimens are fine tuned enough, also she'd need an
: AICD placement as well,
| f******I
发帖数: 769 | 6 had lunch with transplant surgeon today, he said a couple months ago there
was a high risk donor in chicago, during the screening, he happened to be
during the window period of which serology for HIV and hep B were negative,
so 3 organ recipients became infected with HIV and hep B, |
|
