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临床资料患者,男,26岁。入院前10 d突发胸闷、气促、双下肢水肿,伴右胸部隐痛,在外院经药物治疗症状无缓解,收入华西医院心脏大血管外科诊治。入院查体:血压117/90mm Hg,心率70次/分,律齐,各瓣膜区未闻及心脏杂音。心电图提示:窦性心律,V1呈Qr型,T波改变。经胸超声心动图提示:右心房占位,三尖瓣口继发梗阻伴轻度反流,左心室收缩功能指标正常。胸部CT示:右下肺动脉主干肺栓塞,心
Patients with clinical data, male, 26 years old. 10 days before admission sudden chest tightness, shortness of breath, lower extremity edema, with pain in the right chest, no symptoms relieved in the hospital outside the drug treatment, income Huaxi Hospital Cardiac Vascular Surgery diagnosis and treatment. Admission examination: blood pressure 117 / 90mm Hg, heart rate 70 beats / min, law Qi, the valve area has not heard of heart murmur. ECG tips: sinus rhythm, V1 was Qr type, T wave changes. Transthoracic echocardiography tips: right atrial occupancy, secondary obstruction of the tricuspid valve with mild reflux, left ventricular systolic function indicators normal. Chest CT showed: the right lower pulmonary artery trunk pulmonary embolism, heart