论文部分内容阅读
例一、女,18岁。因心慌、气促三、四年,加重三天,于1983年7月入院。体检:急重病容,呼吸促,半卧位,唇及双颊紫绀,颈静脉怒张。心浊音界扩大,心率64次,律绝对不齐,心音强弱不等,心尖部可所到Ⅲ级收缩期杂音及轻度舒张期杂音。肺部听诊无异常。肝剑下二指,脾未及,双下肢浮肿。X 线所见:两肺血不多,心影呈普大型,左房左室尤著。ECG示房颤心律,右室肥厚。超声心动图检查提示二尖瓣狭窄?。以“风湿性心脏病;二尖瓣损害;心房颤动;心衰”收治。
Example one, female, 18 years old. Due to palpitation, shortness of breath three or four years, increased three days, in July 1983 admitted. Physical examination: critically ill, respiratory, semi-recumbent, cyanotic lips and cheeks, jugular vein engorgement. Heart dullness expanded, the heart rate 64 times, the law is absolutely missing, heart sound intensity range, apical systolic and mild systolic murmur may be noise. No abnormal lung auscultation. Liver Sword under the second finger, spleen and lower extremity edema. X-ray findings: not much blood between the two lungs, heart shadow was large, particularly left ventricular left ventricle. ECG showed atrial fibrillation rhythm, right ventricular hypertrophy. Echocardiography suggestive of mitral stenosis? To “rheumatic heart disease; mitral valve damage; atrial fibrillation; heart failure” admitted.