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患者女,23岁,农民。因心悸、气急1月,加重伴不能平卧,尿少及下肢浮肿半月于1987年1月18日入院。既往有风湿病史10余年伴时有头晕及心前区痛,素未诊治过。检查:心尖搏动弥散,心界显著向左下扩大,心率120次/分,律齐,主动脉瓣及其副区与二尖瓣区有Ⅲ～Ⅳ级双期杂音。心三位片:心影呈“主动脉—二尖瓣”型,心胸比率0.69,左心缘达胸侧壁,左室显著扩大,左房中度大,肺血稍多。超声心动图:主动脉瓣显著增粗,开口小,关闭双线,二尖瓣呈尖角城墙状,增厚粘连,前后叶运动同向,关闭双
Female patient, 23 years old, farmer. Due to heart palpitations, shortness of breath in January, increased with not supine, less urine and lower extremity edema on January 18, 1987 admission. Past history of more than 10 years with rheumatism with dizziness and heart area pain, no diagnosis and treatment. Check: apex pulsation dispersion, heart significantly expanded to the left, heart rate 120 beats / min, law Qi, aortic valve and its deputy district and mitral valve area have Ⅲ ~ Ⅳ double phase murmur. Heart three tablets: heart shadow was “aortic - mitral valve” type, cardiothoracic ratio of 0.69, left heart margin to the thoracic wall, left ventricle was significantly enlarged, left atrial moderate, pulmonary blood flow slightly more. Echocardiography: significant aortic thickening, small opening, closed double line, the mitral valve was sharp wall, thickening adhesions, the same before and after the leaf movement, close the double