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患者女,41岁。主因活动后呼吸困难10余年,加重5个月就诊。查体发现肺动脉瓣听诊区闻及舒张期杂音。经胸超声心动图检查,提示:右心明显扩大,左心室腔内径偏小,右室壁增厚,运动幅度轻度减低,室间隔与左室后壁呈同向运动;收缩期三尖瓣轻度反流信号,反流面积2.12cm2,舒张期肺动脉瓣重度反流信号,肺动脉瓣前向血流速度增快;肺动脉呈瘤样扩张,肺动脉融合内径90.4 mm,左肺动
Female patient, 41 years old. Mainly due to dyspnea after activities more than 10 years, increased 5 months treatment. Examination found pulmonary auscultation area smell and diastolic murmur. Transthoracic echocardiography, prompted: right heart was significantly enlarged left ventricular cavity diameter is small, thickening of the right ventricular wall, mildly decreased motor amplitude, ventricular septal and left ventricular posterior wall showed the same direction; systolic tricuspid valve Mild reflux signal, the reflux area of 2.12cm2, diastolic pulmonary valve regurgitation signal, the anterior pulmonary artery blood flow faster; pulmonary artery tumor-like expansion, pulmonary artery fusion diameter 90.4mm, left pulmonary artery