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1 病例介绍患者女性,42岁。患风湿性心脏病二尖瓣狭窄10年,心房颤动1年,经皮二尖瓣球囊扩张术后6个月,于1991年10月4日入院转复心律。查体:P:82次/分;BP:16/10 kPa;心界稍向左扩大,无震颤,心率90次/分,P_2亢进,心律不齐,心尖区可闻及舒张中期杂音,心功能Ⅱ级。超声心动图:单纯二尖瓣狭窄,瓣口面积1.5cm~2,左房内径55 mm。心电图:房颤,心室率80次/分,
1 case description Female patient, 42 years old. Rheumatic heart disease mitral stenosis 10 years, 1 year of atrial fibrillation, percutaneous balloon mitral valvuloplasty 6 months after admission on October 4, 1991 cardioversion. Examination: P: 82 beats / min; BP: 16/10 kPa; heart bound to the left to expand, no tremor, heart rate 90 beats / min, P 2 hyperthyroidism, arrhythmia, apex area can be heard and midlatus diastolic heart Function Ⅱ level. Echocardiography: Simple mitral stenosis, valve area 1.5cm ~ 2, left atrial diameter 55mm. ECG: atrial fibrillation, ventricular rate 80 beats / min,