超声心动图误诊断裂乳头肌为赘生物1例
发布时间：2018-07-24 08:00
【摘要】：正患者男,44岁,以"5年前出现劳累后乏力,半个月前胸闷气短加重,偶有夜间憋醒,近1周有间断性低热"来诊。患者无高血压、冠心病史,无外伤史,仅于发病前有爬坡经历。查体:体温36.7℃,血压100 mmHg/64 mmHg,心尖区闻及3/6级收缩期吹风样杂音。心电图、冠状动脉CTA无明显异常,肺部CT平扫提示炎症性病变可能性大。血细菌培养阴性。超声心动图检查:二尖瓣后叶靠近后内联合处部分瓣体于收缩期翻入
[Abstract]:44 year old man, 44 years old, with "5 years ago tired after fatigue, half a month ago chest tightness and shortness of breath, occasionally nocturnal suffocation, nearly 1 weeks with intermittent low fever". Patients have no hypertension, coronary heart disease history, no history of trauma, only before the onset of climbing experience. Body temperature 36.7, 100 mmHg/64 mmHg, apex area and 3/6 stage systolic blower like miscellaneous There were no obvious abnormalities in the electrocardiogram. The CTA of the coronary artery had no obvious abnormalities, and the CT scan of the lungs suggested that the inflammatory disease was more likely. The blood bacteria culture was negative. Echocardiography: the posterior lobe of the mitral valve close to the posterior part of the posterior chamber was turned into the systolic phase.
【作者单位】： 中国医科大学附属第一医院心血管超声科;
【分类号】：R540.45;R542.51
本文编号：2140738
[Abstract]:44 year old man, 44 years old, with "5 years ago tired after fatigue, half a month ago chest tightness and shortness of breath, occasionally nocturnal suffocation, nearly 1 weeks with intermittent low fever". Patients have no hypertension, coronary heart disease history, no history of trauma, only before the onset of climbing experience. Body temperature 36.7, 100 mmHg/64 mmHg, apex area and 3/6 stage systolic blower like miscellaneous There were no obvious abnormalities in the electrocardiogram. The CTA of the coronary artery had no obvious abnormalities, and the CT scan of the lungs suggested that the inflammatory disease was more likely. The blood bacteria culture was negative. Echocardiography: the posterior lobe of the mitral valve close to the posterior part of the posterior chamber was turned into the systolic phase.
【作者单位】： 中国医科大学附属第一医院心血管超声科;
【分类号】：R540.45;R542.51
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1 吴遐;121例心肌梗塞左心室乳头肌的病理分析[J];中国循环杂志;1995年01期
，本文编号：2140738
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