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笔者应用日本Aloka SSD—710扇形扫描仪检出1例肥厚型心肌病(HCM)伴二尖瓣狭窄(MS)患者,现介绍如下。病史及体征患者,男,42岁。阵发性胸闷、气短、心悸2年余。心慌、气短持续时间不定,劳累后加重,可自行缓解,曾按冠心病治疗无效。无心前区疼痛、眩晕及晕厥,无高血压及风湿病史。家族史无特殊。查体:血压92/60mmHg,两肺未闻及罗音,心浊音界向左扩大,心率68次/分,律齐,心尖区闻及Ⅱ级舒张中晚期隆隆样杂音。肝脾肋下未扪及,双下肢无浮肿。
I use the Japanese Aloka SSD-710 Sector Scanner detected in 1 case of hypertrophic cardiomyopathy (HCM) with mitral stenosis (MS) patients are as follows. Patients with history and signs, male, 42 years old. Paroxysmal chest tightness, shortness of breath, palpitations more than 2 years. Flustered, shortness of breath of indefinite duration, exacerbated after exertion, relieve itself, once treated by coronary heart disease is invalid. No pain in the anterior heart area, dizziness and fainting, no history of hypertension and rheumatism. No special family history. Physical examination: blood pressure 92 / 60mmHg, both lungs did not smell and rales, heart dullness to the left to expand, heart rate 68 beats / min, law Qi, apex area smell and Ⅱ grade diastolic middle and late rumble-like noise. No palpable ribs and ribs, both lower extremities without edema.