超声心动图诊断三尖瓣缺如1例
发布时间:2018-03-27 16:01
本文选题:三尖瓣缺如 切入点:超声心动描记术 出处:《中国医学影像技术》2015年12期
【摘要】:正患者男,32岁,因"劳力性胸闷、呼吸困难3年"就诊。查体:体型消瘦,呼吸稍促,口唇无明显发绀,颈静脉怒张,心率90次/分,律不齐,第一心音强弱不等,胸骨左缘4~5肋间闻及2/6级收缩期吹风样杂音。肝、脾稍大,肝-颈静脉回流征阳性,双下肢轻度凹陷性水肿。心电图:心房颤动,完全性右束支传导阻滞,Ⅱ、Ⅲ、aVF、V4~V6导联ST段下斜形下降0.05~
[Abstract]:The patient was 32 years old. He was admitted to the hospital because of "exertional chest tightness, dyspnea for 3 years." physical examination showed that he was thin, had a slight shortness of breath, had no obvious cyanosis on his lips, had jugular vein irritation, had a heart rate of 90 beats / min, was irregular in rhythm, and had different first heart sounds. Left margin of sternum 4 and 5 intercostal and 2 / 6 degree of constrictive wind-like murmur. Liver, spleen slightly larger, hepatic jugular venous reflux sign positive, bilateral lower extremity slight concave edema. Electrocardiogram: atrial fibrillation, complete right bundle branch block, 鈪,
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