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患者男,62岁,因左侧肢体活动障碍20余天入院。无风湿热及心脏病病史。查体:P 65次/分,BP 12.7/8kPa,心尖部无抬举性搏动,无震颤,心界无扩大,心率94次/分,心律绝对不齐,心音强弱不一,主动脉听诊区可闻及收缩期Ⅲ级吹风样杂音,并向颈部放射。左侧肢体肌力Ⅳ级,肌张力正常。24小时动态心电图(Holter)示:心房纤颤伴室内差异性传导,偶发室性早搏,电脑彩色声像图:左心房收缩期前后径、横径、长径各为36、38、53mm,主动脉环前后径19mm,升主动脉内径44mm,主动脉瓣呈二叶型。心脏彩色及脉冲多普勒血流报告:先天性主动脉二
Male patient, aged 62, was admitted to hospital for more than 20 days due to left limb movement disorders. No history of rheumatic fever and heart disease. Examination: P 65 beats / min, BP 12.7 / 8kPa, apex beating without beating, no tremor, no expansion of the heart, heart rate 94 beats / min, heart rate is absolutely not Qi, heart sounds vary, auscultation auscultation Can be heard and systolic grade Ⅲ hair-like noise, and to the neck radiation. Left limb muscle strength Ⅳ, normal muscle tone. 24-hour Holter showed: atrial fibrillation with intra-ventricular differential transmission, premature ventricular premature beats, computer color sonography: left atrial systolic anteroposterior diameter, diameter, long diameter of 36,38,53 mm, the main Artery ring anteroposterior diameter 19mm, ascending aorta diameter 44mm, aortic valve was two-leaf type. Heart Color and Pulsed Doppler Flow Report: Congenital Aorta II