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病历摘要患者女,48岁15年前诊断为风湿性心脏病。92年9月15日因泌尿系感染症状而就医。血压l5/11kpa。二尖瓣面容。心界稍向两侧扩大,可触及舒张期震颤。心尖区可闻及双期复音。心音强弱不等,心律不规整,临床拟诊风湿性心脏病,心房纤颤,膀胱炎。透视所见:肺内无病变,肺血偏多。心影星怪异状增大。主动脉球缩小。右心缘下段突上延长,右房高/心高明显大于二分之一。两肺门增大。增浓、搏动明显增强。食道钡餐检查示右房压迹明显增深,但受压后移的
Patient Summary Female patient, 48 years old 15 years ago diagnosed with rheumatic heart disease. September 15, 92 Get medical attention for the symptoms of urinary tract infection. Blood pressure l5 / 11kpa. Mitral valve face. Heart slightly expanded to both sides, can reach the diastolic tremor. Apex area can be heard and double polyphony. Heart sound intensity range, irregular heart rhythm, clinically diagnosed rheumatic heart disease, atrial fibrillation, cystitis. Seeing through the perspective: no lung disease, lung blood side more. Heart shadow star weird shape increases. Aortic balloon contraction. Right lower edge of the sudden extension of the right heart, right atrial height / heart rate was significantly greater than one-half. Hilar increased. Increased concentration, pulsation significantly enhanced. Esophageal barium meal examination revealed a significant deepening of the right atrium indentation, but the pressure after the shift