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患女,62岁。因受凉后心悸、气促,于1991年8月30日以风心病入院。自述幼时无心脏病病史,1958年曾在外地医院诊断为“风心病”。查体:慢性病容,口唇无发绀,BP14/9kPa。心尖区闻及Ⅲ～Ⅳ级收缩期杂音,P_2亢进.心电图:电轴右偏110°,右束支传导阻滞,右室肥厚。X线片示心影呈“二尖瓣型”改变。超声心动图:肺动脉内径增宽,右室明显增大,胸骨旁左室长轴见左房内径稍扩大,其内见一环状隔膜将左房分成左前下及右后上二个
Women, 62 years old. Due to cold palpitations, shortness of breath, on August 30, 1991 admission to rheumatic heart disease. A child without a history of heart disease readme, 1958 in a foreign hospital diagnosed as “rheumatic heart disease.” Physical examination: chronic disease, lips cyanosis, BP14 / 9kPa. Apex area smell and Ⅲ ~ Ⅳ systolic murmur, P_2 hyperthyroidism .Electrocardiogram: right axis deviation 110 °, right bundle branch block, right ventricular hypertrophy. X-ray showed heart shadow was “mitral valve type” change. Echocardiography: pulmonary artery diameter widened, right ventricle was significantly increased, the long axis of the left common chest next to the left atrial diameter slightly enlarged, which see a ring-shaped diaphragm will be divided into left anterior chamber and left and right after two