巨大肺动脉瘤超声心动图表现报道1例

发布时间：2018-05-23 10:29

  本文选题：巨大肺动脉瘤 + 经胸超声心动图　； 参考：《中国超声医学杂志》2016年12期

【摘要】：正患者女,41岁。主因活动后呼吸困难10余年,加重5个月就诊。查体发现肺动脉瓣听诊区闻及舒张期杂音。经胸超声心动图检查,提示:右心明显扩大,左心室腔内径偏小,右室壁增厚,运动幅度轻度减低,室间隔与左室后壁呈同向运动;收缩期三尖瓣轻度反流信号,反流面积2.12cm2,舒张期肺动脉瓣重度反流信号,肺动脉瓣前向血流速度增快;肺动脉呈瘤样扩张,肺动脉融合内径90.4 mm,左肺动
[Abstract]:The patient was 41 years old. The main cause of dyspnea after the activities of more than 10 years, aggravated for 5 months. Pulmonary valve auscultation area was detected and diastolic murmur was found. Transthoracic echocardiography showed that the right heart enlarged obviously, the diameter of left ventricular cavity was small, the right ventricular wall thickened, the amplitude of motion decreased slightly, the interventricular septum was in the same direction as the posterior wall of left ventricle, the signal of mild regurgitation of systolic tricuspid valve was observed. The area of regurgitation was 2.12cm ~ 2, the diastolic pulmonary valve had severe regurgitation signal, the velocity of pulmonary valve was increased, the pulmonary artery was dilated like aneurysm, the diameter of pulmonary artery fusion was 90.4 mm, the left pulmonary artery was left pulmonary artery.
【作者单位】： 首都医科大学附属北京朝阳医院心脏超声科;
【分类号】：R540.45;R543.2

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1 苟生玲;;超声诊断肺心病合并巨大肺动脉瘤1例[J];中国超声医学杂志;2008年12期

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