论文部分内容阅读
病历摘要患者,女性,53岁。劳力性心悸、气短8年,近2年加重。尚可事家务。缘于20年前即发现心脏舒张期杂音,病程中无咯血、紫绀、水肿及昏厥史。未用过洋地黄类药物。体检:脉搏55次/分,血压130/80毫米汞柱。二尖瓣面容。颈静脉无怒张。心浊音界向两侧扩大,心率同脉率,心律不规整,第一心音强弱不甚一致,P_2>A_2,心尖区闻及Ⅲ级粗糙的吹风样收缩期杂音、向
Patient history, female, 53 years old. Labor heart palpitations, shortness of breath for 8 years, nearly 2 years increased. Can still housework. Due to the discovery of diastolic murmur 20 years ago, there was no history of hemoptysis, cyanosis, edema and syncope in the course of the disease. No digitalis drugs have been used. Physical examination: pulse 55 beats / min, blood pressure 130/80 mm Hg. Mitral valve face. Jugular vein without tension. Heart dullness to both sides of the expansion, heart rate with pulse rate, irregular heart rhythm, the first heart sound intensity is not consistent, P_2> A_2, apical zone smell and grade Ⅲ rough hair-like systolic murmur to