下腔静脉瓣血栓1例
发布时间：2018-08-26 07:10
【摘要】：正患者男,52岁,主因"活动后气短4个月,加重伴下肢水肿1周"入院。查体:双肺无阳性体征,叩诊心界向左右两侧扩大,心率80次/分,律齐,心尖区可闻及3/6级收缩期吹风样杂音,颈静脉无怒张,肝脾肋下未及,双下肢中度水肿。心电图示房性纤颤。超声:二尖瓣前叶部分腱索断裂伴脱垂,中度反流,全心大,心尖四腔心切面可见右心房内约3.50cm×1.24cm分叶状肿物,呈弱回声,随心动周期左右摆动,与右心房游离壁无附着(图
[Abstract]:The patient, 52 years old, was admitted to hospital because of "shortness of breath for 4 months after exercise, aggravated with edema of lower extremities for 1 week". Body examination: there were no positive signs in both lungs, percussion to both sides of the heart, heart rate 80 beats / min, rhythm, the apical area can be heard and 3 / 6 degree of systolic blowing murmur, jugular vein no irritation, liver and spleen without subcostal, bilateral lower extremity moderate edema. Electrocardiogram showed atrial fibrillation. Ultrasound: anterior mitral valve partial chordae tendineae rupture with prolapse, moderate regurgitation, large heart, apical four-chamber segmental mass in the right atrium, showing weak echo, swinging with the left and right of the cardiac cycle, no attachment to the free wall of the right atrium (Fig.)
【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】：R543.6;R445.1
本文编号：2204112
[Abstract]:The patient, 52 years old, was admitted to hospital because of "shortness of breath for 4 months after exercise, aggravated with edema of lower extremities for 1 week". Body examination: there were no positive signs in both lungs, percussion to both sides of the heart, heart rate 80 beats / min, rhythm, the apical area can be heard and 3 / 6 degree of systolic blowing murmur, jugular vein no irritation, liver and spleen without subcostal, bilateral lower extremity moderate edema. Electrocardiogram showed atrial fibrillation. Ultrasound: anterior mitral valve partial chordae tendineae rupture with prolapse, moderate regurgitation, large heart, apical four-chamber segmental mass in the right atrium, showing weak echo, swinging with the left and right of the cardiac cycle, no attachment to the free wall of the right atrium (Fig.)
【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】：R543.6;R445.1
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