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15岁男性患者。幼年时剧烈活动即气促,一年前自感心跳不规则,于1985年7月12日入院。查体:无紫绀。血压100/60mmHg。肺无罗音。心界不大,心率96次/分,胸骨左缘第4肋间可闻及Ⅲ°收缩期杂音。x线示左房扩大。EKG示心房纤颤,偶见室性早搏,右室肥大。超声心动图(超声);左室长轴切面见二尖瓣环处延伸出一条前后方向的、长约4.1cm的光
15 year old male patient. Severe activity in childhood that is shortness of breath, irregular heartbeat a year ago, was admitted to hospital on July 12, 1985. Physical examination: no cyanosis. Blood pressure 100 / 60mmHg. Lung non-rales. Heart, heart rate 96 beats / min, sternum left intercostal space can be heard and Ⅲ ° systolic murmur. X-ray showed left atrial enlargement. EKG showed atrial fibrillation, occasionally ventricular premature beats, right ventricular hypertrophy. Echocardiography (ultrasound); long axis of the left ventricle mitral annulus at the extension of a longitudinal direction of about 4.1cm of light