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例1 男,71岁,干部。反复发作心慌20年,加重1个月于1993年3月4日入院。既往健康。体检:T36.5℃,P 78次/分,R 22次/分,BP 16/10kPa(120/75mmHg),平卧位,双侧颈静脉无怒张,胸廓对称,双肺未闻及干、湿性罗音,心率94次/分,律不整,心音强弱不一,心前区未闻及杂音及早搏,P_2不亢,心界不大,腹平软,肝脾不大,腹水征阴性,双下肢无水肿。实验室检查:Hb 135g/L,WBC 5.1×10~9/L,N 0.69,L 0.24,M0.05,E 0.02。血Na、K、Cl、CO_2CP,肝、肾功能,胆固醇,甘油三脂,血糖均正常。心电图:电轴不偏,心房纤颤并室内差异性传导,不完全性右束支传导阻滞。胸部X线片:双肺纹理清,无肺充血、淤血,心影不大,心胸比例<0.55。超声心动图:左房、右室增大,左房内径63mm,房间隔、室间隔连续,室间隔下段运动减弱,左房中下部有一异常条状隔膜,隔顶突向二尖瓣方向,隔膜的右外侧靠近左房壁有一10mm的开口,此处血流速度为1.75m/s,主动脉根部31.4mm,右室内径32mm。各组瓣膜回声正常。超声诊断为先心病,三房心。
Example 1 Male, 71 years old, cadre. Repeated episodes of palpitation 20 years, an increase of 1 month in March 4, 1993 admission. Past health. Physical examination: T36.5 ℃, P78 beats / min, R22 beats / min, BP16 / 10kPa (120 / 75mmHg), supine position, bilateral jugular vein without rage, symmetrical thorax, , Wet rales, heart rate 94 beats / min, irregular heartbeat, heart sounds vary, no precordial noise and premature beats, P_2 not hyperactivity, heart is not big, abdominal soft, small spleen, ascites Negative, no lower extremity edema. Laboratory tests: Hb 135g / L, WBC 5.1 × 10 ~ 9 / L, N 0.69, L 0.24, M0.05, E 0.02. Blood Na, K, Cl, CO_2CP, liver, kidney function, cholesterol, triglycerides, blood glucose were normal. Electrocardiogram: axis is not partial, atrial fibrillation and indoors differential conduction, incomplete right bundle branch block. Chest X-ray film: clear lungs texture, no lung congestion, congestion, small heart shadow, mind ratio <0.55. Echocardiography: left atrium, right ventricular enlargement, left atrial diameter 63mm, atrial septal, interventricular septal continuity, ventricular septal motion decreased, the middle and lower left anomalous stripe diaphragm, septum protruding mitral valve direction, diaphragm The right lateral side of the right atrium near the left a 10mm opening, where the blood flow rate of 1.75m / s, aortic root 31.4mm, right ventricular internal diameter 32mm. Echocardiography of each group was normal. Ultrasound diagnosis of congenital heart disease, three heart.