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患者女,51岁。主因“间断头晕、头痛10余年,加重2个月”入院。查体:Bp 160/100mm Hg,心率55次/min,肌钙蛋白、心肌酶及其他生化检查均未见明显异常。常规十二导联及右心导联心电图显示:心动过缓,心电图大致正常。超声心动图检查示:左房扩张,右室前侧壁局部向外膨出,范围约7.5mm×8.5 mm,膨出部室壁变薄,运动略减低(图1~2),余室壁未见明显异常。超声诊断:右室前侧壁憩室。
Female patient, 51 years old. The main reason, “intermittent dizziness, headache more than 10 years, increased 2 months ” admission. Examination: Bp 160 / 100mm Hg, heart rate 55 beats / min, troponin, myocardial enzymes and other biochemical tests were no obvious abnormalities. Conventional 12 lead and right lead ECG: bradycardia, ECG is generally normal. Echocardiography showed: left atrial expansion, the local expansion of the anterior lateral wall of the right ventricle, a range of about 7.5mm × 8.5mm, thinning of the ventricular wall, slightly reduced movement (Figure 1-2), the remaining wall See obvious abnormalities. Ultrasound diagnosis: right ventricular anterior wall diverticulum.