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患者男,56岁。主诉“活动后心慌、胸闷一年加重10余d”入院,高血压病史6年,无外伤史。听诊剑突下可闻及2/VI级收缩期杂音。超声所见:左心房内径(LA)33 mm,左心室内径(LV)42mm,右心房内径(RA)68 mm,右心室内径(RV)56mm,三尖瓣环径44mm。右心房、右心室明显扩大,左室长轴及心尖四腔心切面显示心脏左旋转位,右室位于左室正前方,心尖部声窗移至腋窝部;室间隔运动异常(收缩期向前运动);三尖瓣环
Male patient, 56 years old. Chief complaint “after the event of palpitation, chest tightness year more than 10 d ” admission, history of hypertension 6 years, no history of trauma. Auscultation can be heard under the swords and 2 / VI systolic murmur. Ultrasound findings: left atrial diameter (LA) 33 mm, left ventricular diameter (LV) 42mm, right atrium (RA) 68mm, right ventricular internal diameter (RV) 56mm, tricuspid ring diameter 44mm. Right atrium, right ventricle was significantly enlarged left ventricular long axis and apical four-chamber coronal section shows the left ventricular rotation, the right ventricle is located in front of the left ventricle, the apical part of the acoustic window moved to the armpit Department; abnormal ventricular septal motion (systolic forward Exercise); tricuspid annulus