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本病自1866年首次由 Ebstein 报告,至今文献仅数百例报告。我国仅有20多例报告,近年来由于二维超声心动图检查的开展,病例报告逐渐增加。现将我院收治1例,结合文献复习报告如下:病人系男性,20岁,农民,住院号58036。因活动后心慌、气短、胸闷14年,门诊诊为“先心、室缺”,于1986年6月25日入院诊治。自幼发现心脏有杂音,能参加体力活动,自幼有无紫绀不清,否认蹲踞。查体:T37℃,P72次/分,BP128/80mmHg,发育稍差,无紫绀,颈静脉无怒张及异常搏动,心界稍向两删扩大,心率72次/分,律齐,P_2无亢进、分裂,心尖区可闻及收缩期杂音。肝、脾未及,无杆状指(趾),双下肢
The disease was first reported by Ebstein in 1866 and to date only a few hundred cases have been reported. There are only more than 20 cases reported in our country. In recent years, due to the development of two-dimensional echocardiography, case reports are gradually increasing. Now in our hospital were treated in 1 case, combined with the literature review report is as follows: The patient is male, 20 years old, farmer, hospital number 58036. After the event because of palpitation, shortness of breath, chest tightness 14 years, out-patient diagnosis of “congenital heart, lack of room”, in June 25, 1986 admitted to hospital for treatment. Found a heart murmur since childhood, able to participate in physical activity, childhood cyanosis is not clear, denied squatting. Physical examination: T37 ℃, P72 beats / min, BP128 / 80mmHg, development is slightly worse, no cyanosis, no jugular vein engorgement and abnormal beating, the heart bound to two to expand, heart rate 72 beats / min, Hyperactivity, split, apex area can be heard and systolic murmur. Liver, spleen, rodless fingers (toes), both lower extremities