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患者男性,15岁,以心悸胸闷多年,尤以活动后为甚,3月前查体发现心脏杂音及心脏增大,来院疑动脉窦瘤收住院。查体:BP:15.46/0.66kPa,发育营养一般,口唇红润,无紫绀,胸骨左右缘第二肋间,均可闻及Ⅱsm,局限无震颤,心界稍大,水冲脉(+)。股动脉听诊,有抢击音,腹部泌尿生殖系及脊柱四肢均未发现异常,心脏常规片示两肺血不多,心影向两侧轻度增大,右下心缘隆突且成角,左下心缘延伸(图1),左前斜位心前缘中上呈“乳头”状突出,心后缘略突与脊柱重叠(图2),心电图示左室肥厚,UCG提示左室扩大,右窦明显膨出,右后房室沟处异常通道,左心导管:左室压:20/0kPa(平
Male patients, 15 years old, with palpitations chest tightness for many years, especially after the event is even more, 3 months ago, physical examination found heart murmur and increased heart, to hospital suspected sinus aneurysm admission. Examination: BP: 15.46 / 0.66kPa, general nutrition, rosy lips, no cyanosis, sternal left and right margin of the second intercostal, can be heard and Ⅱsm, the limitations of non-tremor, heart slightly larger, water pulse pulse (+). Auscultation of the femoral artery, a snoring sound, abdomen, genitourinary and spine limbs were found no abnormalities, the routine heart showed two lungs less blood, slightly increased on both sides of the heart shadow, right lower edge of the carina and angulation, Left heart edge extension (Figure 1), left anterior oblique center in the front was “nipple” -like prominent edge of the heart slightly protruding and spine overlap (Figure 2), left ventricular hypertrophy ECG, UCG prompted left ventricular enlargement, right Sinus obvious bulging, the right atrioventricular groove abnormal channel, left cardiac catheterization: left ventricular pressure: 20 / 0kPa (flat