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患者女,41岁。发作性心慌、胸闷、气短5个月。查体:听诊双肺呼吸音清,两肺底可闻及少量湿口罗音,心率20次/min,律齐,在胸骨左缘第4、5肋间可闻3/6级舒张期隆隆样杂音,肺动脉瓣听诊区第二心音增强。胸片示双侧肺血略少,肺纹理增多,心影呈二尖瓣型,心胸比0.57。心电图示左房扩大
Female patient, 41 years old. Paroxysmal palpitation, chest tightness, shortness of breath 5 months. Physical examination: auscultation lung breath sounds clear, two lungs can be heard and a small amount of wet mouth rales, heart rate 20 beats / min, law Qi, in the sternal left margin 4,5 intercostal smell 3/6 diastolic rumbling Like noise, pulmonary heart valve auscultation second heart sound enhancement. Chest radiograph showed slightly less bilateral pulmonary blood flow, increased lung markings, mitral valve type, cardiothoracic ratio 0.57. ECG left atrial enlargement