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例1 女性,69岁,因胸闷、气急、夜间阵发性呼吸困难3天入院。体检:口唇发绀,BP120/90mmHg,心尖搏动弥漫,心律不齐,心尖区闻及Ⅲ级收缩期杂音。胸片示心影向两侧扩大,UCG:左房、左室、右室均扩大,二尖瓣相对关闭不全,室壁运动减弱。临床诊断:扩张型心肌病。心电图(图1)Ⅱ导联连续记录,上行R_2为室早,R_(4、6、8、10、12)可见提早的P′,为交替性房
Example 1 Female, 69 years old, due to chest tightness, shortness of breath, paroxysmal nocturnal dyspnea 3 days admission. Physical examination: cyanosis of the lips, BP120 / 90mmHg, perinatal beating, arrhythmia, apex area smell and Ⅲ systolic murmur. X-ray chest to show both sides to expand, UCG: left atrium, left ventricle, right ventricle were expanded, relative mitral regurgitation, wall motion weakened. Clinical diagnosis: dilated cardiomyopathy. Electrocardiogram (Figure 1) Ⅱ lead continuous recording, ascending R_2 room early, R_ (4,6,8,10,12) can be seen earlier P ’for the alternating room