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1.1 王某,男,67岁,转业干部,往健康,自1980年以米常感心悸、胸闷、活动后加重,先后住某医院两次,按风心联合瓣膜病治疗,疗效不佳,后因心悸、胸闷、头晕来院疗养。查:T36.5℃,P80次/min,R17次/min,BP22/11kpa,无二类瓣面貌,无颈静脉怒张,双肺呼吸音清。心界向左下扩大。心类搏动在左锁骨中线外侧第六肋间,触无震颤。心律规整,心尖部可闻及2/6级吹风样收缩期杂音及柔和且时限较短的低频舒张中期杂音,无第一心音增强及开瓣音。主动脉瓣听诊区闻及2/6～3/6级吹风样收缩期杂音及舒张期叹气样杂音,舒张
1.1 Wang, male, 67 years old, retired cadres, to health, since 1980, often with palpitations, chest tightness, aggravating after activities, has lived in a hospital twice, according to the wind heart combined valvular disease treatment, poor efficacy, after Because of heart palpitations, chest tightness, dizziness to hospital. Check: T36.5 ℃, P80 times / min, R17 times / min, BP22 / 11kpa, no two types of valve appearance, no jugular vein engorgement, lung breath sounds clear. Heart left to expand. Cardiac pulsation in the left subclavian midline lateral sixth intercostal touch without tremor. Rhythm, apex can be heard and 2/6 hair-style systolic murmur and soft and short duration of low-frequency diastolic murmur, no first heart sound enhancement and open flap sound. Aortic valve auscultation area heard 2/6 ~ 3/6 hair-style systolic murmur and diastolic sigh noise, diastolic