对房间隔缺损合并部分心包缺如1例分析如下。1病历摘要男,35岁。体检发现心脏杂音3a。入院前2周曾经晕厥1次。查体:P 92次/min,BP 140/95mm Hg,心界略向左侧扩张,胸骨左缘第二肋间可闻及Ⅱ～Ⅲ级柔和吹风样杂音,P2亢进。胸片示心胸比例0.55,心脏呈二尖瓣型,心尖向左上翘,肺动脉段突出;超声心动图示房间隔中部可见回声缺失约24mm,左向右分流,右房室增大,肺动脉高压(轻-中度)。心电图 Atrial septal defect merger part of the pericardium missing 1 case as follows. 1 medical record male, 35 years old. Physical examination found heart murmur 3a. 2 weeks before admission once syncope 1. Examination: P 92 times / min, BP 140 / 95mm Hg, the heart slightly to the left dilatation, the second intercostal sternum can smell the second intercostal and Ⅱ ~ Ⅲ soft hair blowing noise, P2 hyperthyroidism. Chest chest showed heart rate 0.55, the heart was mitral valve type, apex to the left upturned, prominent pulmonary artery segment; echocardiography showed atrioventricular septal echogenic loss of about 24mm, left to right shunt, right atrium increases, pulmonary hypertension Light - moderate). Electrocardiogram