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病历摘要孙××,男性,30岁,工人,山东籍。患者于1965年因心前区不适、体检发现心脏有Ⅲ级收缩期杂音,先后在上海等三所医院诊断为“先天性心脏病(下称先心),房间隔缺损第一孔型合并肺动脉瓣狭窄”,建议手术治疗。此后心悸、气急逐渐加重。1979年11月患者要求手术治疗,第一次住本院,经右心导管及造影等检查诊断“原发性心肌病”。出院后不久又发生二次无明显诱因的心悸、气急、心前区绞痛,于1980年5月再度入院。
Medical summary Sun × ×, male, 30 years old, worker, Shandong nationality. Patients in 1965 due to precordial discomfort, physical examination found that the heart has grade Ⅲ systolic murmur, has three hospitals in Shanghai, such as diagnosis of “congenital heart disease (hereinafter referred to as congenital heart disease), atrial septal defect with the first hole pulmonary artery Stenosis ”, it is recommended surgery. Heart palpitations, then gradually aggravated. November 1979 patients require surgery, the first time in our hospital, the right heart catheterization and imaging and other tests to diagnose “primary cardiomyopathy.” Shortly after discharge from the hospital, there were palpitations, convulsions and pre-angina pectoris without apparent inducement, and were admitted again in May 1980.