论文部分内容阅读
例1.女,37岁,因反复心悸、气急5月,进行性加重伴阵发性呼吸困难,咳粉红色泡沫样痰,诊为‘风湿性心脏病”收住院,经用血管扩张剂及利尿剂等治疗,症状好转不明显,病程中无发热及关节痛等。体查:急性面容,BP14/8kPa,心律整,P128次/分,心尖区可闻及3级收缩期杂音及舒张期滚筒样杂音,且随体位变动而改变,P_2>A_2,双下肺可闻及细湿罗音.肝肋下2cm,有压痛,心电图示窦性心动过速,X线胸片:两肺瘀血。ESR38mm/1h,超声心动图检查:左房可见云雾样回声增光图,收缩期位于房内,舒张期可脱人二尖瓣瓣膜口,诊断为左房粘液瘤。心功能改善后转上级医
Example 1. A 37-year-old female, who was repeatedly paralyzed and anxious in May, was progressively aggravated with paroxysmal dyspnea, coughed with a pink foamy sputum, diagnosed as ’rheumatic heart disease’ admitted to hospital, and treated with vasodilators. Diuretics and other treatment, the symptoms did not improve significantly, no fever and joint pain in the course of the disease, etc.. Physical examination: acute facial, BP14/8kPa, rhythm, P128 beats / min, apex area can be heard and three systolic murmur and diastolic phase Drum-like murmur, and change with posture, P_2> A_2, double lower lung can be heard and fine wet rales. Liver 2cm subcostal, tenderness, ECG sinus tachycardia, X-ray: two lungs ESR 38mm/1h, Echocardiographic examination: cloud-like echo echocardiogram can be seen in the left atrium, systolic phase in the room, diastolic mitral valve, and diagnosis of left atrial myxoma. medical