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例1,女,20岁,因心悸2天入院。平素感活动后心悸及胸闷不适,休息后缓解。查体:消瘦,扁平胸,背平直,两肩胛间平坦,心界不大,胸骨左缘2肋间局限的Ⅱ级吹风样收缩期杂音,深吸气时减弱,卧位增强。心电图及超声心动图正常。X线胸片肺动脉段显饱满,侧位胸骨后及心后间隙消失,胸椎曲度径线(第8胸椎前缘至第4胸椎前上角与第12胸椎前上角连线的距离)7.2mm,心影横径93mm,胸前后径(第8胸椎前缘至胸骨后缘)74mm,横径(右隔顶水平)222mm,胸前后径/横径比0.33,心胸比0.42,心脏面积(心脏纵径cm×宽径cm×0.7019+2.096)87.20cm~2,较正常值(身高cm×0.6207+体重kg×0.6654-42.7946)84.45cm~2大3.2％。
Example 1, female, 20 years old, admitted for palpitations 2 days. Usually feel palpitations and chest discomfort after the activity, rest and ease. Physical examination: weight loss, flat chest, back straight, flat between the two shoulder blades, heart is not, sternal left margin of the 2 intercostal space limitations of the type Ⅱ systolic murmur, decreased deep inspiration, increased lying position. ECG and echocardiography normal. X-ray chest pulmonary artery was significantly full, lateral and posterolateral sternal space disappears, the diameter curve of the thoracic vertebrae (the front edge of the eighth thoracic vertebra to the thoracic vertebra and the twelfth thoracic anterior horn connection distance) 7.2 (diameter of right septum) 222mm, chest anteroposterior diameter / diameter ratio 0.33, cardiothoracic ratio 0.42, heart The area (cm × width × cm × 0.7019 + 2.096) of the heart was 87.20cm ~ 2, which was 3.2% larger than the normal value (height cm × 0.6207 + weight kg × 0.6654-42.7946) 84.45cm ~ 2.