超声诊断成人先天性三尖瓣闭锁合并完全型大动脉转位1例

发布时间：2018-04-02 02:24

本文选题：三尖瓣闭锁　切入点：房间隔缺损　出处：《中国临床医学影像杂志》2016年03期

【摘要】：正病例男,22岁,因体检听诊发现心脏杂音而行超声心动图检查。查体:患者一般情况好,无心悸、胸闷气短,无口唇紫绀。血常规提示血红蛋白增高。心电图示:窦性心律,左心室大。余一般情况尚可。超声检查:内脏与心房连接正常,心尖四腔心切面可探及房间隔及室间隔上部较大回声失落,分别约20~35 mm与25~28 mm,分流速度均约0.8 m/s。左侧房室瓣为二尖瓣,开闭良好,右侧房室瓣呈闭锁状态,无活动的瓣叶结构,代之以较厚且回声较强的膜肌样结构(图1),彩色多普勒显示右侧
[Abstract]:The positive case male is 22 years old, because the physical examination auscultation discovers the heart murmur and carries on the echocardiography examination. Examination: the patient general condition is good, does not have the palpitation, the chest tightness breath is short, does not have the mouth lip cyanosis. The blood routine examination indicates the hemoglobin to increase. The electrocardiogram shows: the sinus rhythm, the electrocardiogram: the sinus rhythm, The left ventricle is large. The rest is fine. Ultrasonic examination: the connection between the internal organs and the atrium is normal, the apical four-chamber section can detect the large echo loss of the atrial septum and the upper part of the ventricular septum. The shunt velocities of left atrioventricular valve were about 0.8 m / s. The left atrioventricular valve was mitral valve with good opening and closing, and the right atrioventricular valve was atresia. Replace it with a thicker and more echoic muscular-like structure (Fig. 1, color Doppler image on the right)
【作者单位】：中国医科大学附属盛京医院超声科;
【基金】：辽宁省科技厅科学技术计划项目(2013225049)
【分类号】：R542.53;R540.45

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