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二尖瓣脱垂综合征(二脱)是常见的心瓣膜病之一。国内已有文献综述,并陆续有病例报道。人们对“二脱”的认识逐渐提高,但误诊、漏诊的情况仍时有发生。以胸痛为主要表现就诊者易误诊为冠心病(例1-3);以阵发性室上性心动过速(室上速)就诊时常漏掉“二脱”(例4);以二尖瓣区收缩期杂音为主者易误诊为风湿性二尖瓣关闭不全(例5)。例1曹×(住院号133426),女性,43岁,因反复心前区闷痛二个月第二次住院。闷痛持续30分钟至2小时不等;无放射,发作无诱因;可自行缓解;伴心悸。第一次住院诊断为心纹痛,含服硝酸甘油有时缓解,有时无明显疗效,第二次住院中
Mitral valve prolapse syndrome (two off) is one of the common heart valve disease. Domestic literature review, and one after another case reports. People’s awareness of “two-off” gradually increased, but misdiagnosis and missed diagnosis still occur from time to time. In patients with chest pain as the main manifestation of the diagnosis of coronary heart disease is easy to misdiagnosed (cases 1-3); to paroxysmal supraventricular tachycardia (SVS) often missed when visiting “two off” (Example 4); to tip Systolic murmur-based patients who are easily misdiagnosed as rheumatic mitral regurgitation (Example 5). Case 1 Cao × (hospital number 133426), female, 43 years old, because of repeated precordial pain, two months hospitalization for the second time. Boring pain continued for 30 minutes to 2 hours; no radiation, no incentive to attack; relieve itself; palpitations. The first hospitalized diagnosis of heart-shaped pain, sometimes with nitroglycerin relief, and sometimes no significant effect, the second hospitalization