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肥厚性心肌病经心导管心内膜心肌活检,部分病例虽可明确诊断,但局限性肥厚性心肌病确诊者较少。现将误诊为室间隔缺损的1例报告如下。患儿男,4 6/12岁,合川县人。G_1P_1足月顺产。其母在西藏高原孕育8月后返四川生育。因感冒在当地医院发现心脏杂音于1988年12月5日诊断为室间隔缺损(简称室缺)入院。发育略差,智力佳,唇甲床无青紫,周围血管征(一),胸廓无畸形,胸骨左缘3～4肋间粗糙Ⅲ级收缩期杂音,伴震颤,肺动脉瓣区第二音不亢进。X线:肺血正常,心脏轻度增大以右室为主,肺动脉段突出、搏动增强。
Hypertrophic cardiomyopathy endocardial endomyocardial biopsy, although some cases may be a clear diagnosis, but limited diagnosis of hypertrophic cardiomyopathy less. Now misdiagnosed as ventricular septal defect in 1 case report is as follows. Children male, 4 6/12 years old, Hechuan County. G_1P_1 Full-term follow-up. His mother was born in the Tibetan Plateau in August after returning to Sichuan fertility. Due to a cold in the local hospital found heart murmur on December 5, 1988 diagnosed as ventricular septal defect (referred to as atrioventricular) admission. Development of slightly worse, good intelligence, lip bed no bruises, peripheral vascular signs (a), no abnormal thoracic, sternum left 3 ~ 4 intercostal rough systolic murmur Ⅲ, with tremor, pulmonary valve area second tone not hyperthyroidism . X-ray: normal pulmonary blood flow, heart mild increase in the right ventricle, prominent pulmonary artery, pulsatile enhancement.