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患者女,52岁,风湿性心脏病二20余年,心悸半年,近来手脚发凉。查体:营养发育差,血压、体温正常,气管居中,两肺清析,心界向左扩大,心律绝对不整,心前区未闻杂音。心电图示:心房纤颤,右室肥厚。超声心动图检查:左房内径50mm,右室内径23mm,左室内径55mm,二尖瓣回声增加增厚,二失瓣开口面积1.0cm~2,房间隔中部呈弧形突向右房,突出的深度2.0cm,长2.5cm,收缩期和舒张期均向右房膨胀;Doppler探测左房内可见收缩期湍流频谱;超声心动图提示:房间隔瘤,风湿性心脏病二尖瓣狭窄兼关闭不全。
Female patient, 52 years old, rheumatic heart disease two 20 years, palpitations for six months, recently hands and feet cold. Physical examination: poor nutritional development, blood pressure, normal body temperature, tracheal center, the two lungs clear analysis, the heart to the left to expand, the heart rhythm is not the whole area, precordial unheard noise. ECG shows: atrial fibrillation, right ventricular hypertrophy. Echocardiography: left atrial diameter 50mm, right ventricular diameter 23mm, left ventricular diameter 55mm, mitral echoes increased thickening, two lost valve opening area 1.0cm ~ 2, atrial septal arch curved to the right atrium, prominent The depth of 2.0cm, length 2.5cm, systolic and diastolic right atrial expansion; Doppler detect systolic left ventricular turbulence spectrum; echocardiography Tip: atrial septal tumor, rheumatic mitral stenosis and closure Incomplete.