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高血压性心肌肥厚常见为向心型与离心型,扩张型肥厚极少见,现报告3例。例1.男,47岁,因头痛,头晕16年,活动后心悸,气促1月于1992年6月8日入院。平时血压21.3/14.6 kpa,最高时28/16 kpa。查体:血压17.3/9.3 kpa,肺部无罗音,心尖搏动位于左侧第五肋间锁骨中线外1 cm处,搏动弱而弥散,心界向左下扩大,心率90次/分,律整,P_2>A_2,P_2亢进,各瓣膜听诊区无杂音,肝脏肋下末及,双下肢轻度凹陷性浮肿。胸片:肺淤血,心脏增大,以左室增大为主,心率比率0.60;心电图:非阵发性交界性心动过速,Rv_5+Sv_1=4.4mv,ST_I aVL,v_5、v_6下斜型下移
Hypertensive cardiac hypertrophy is common to centripetal and eccentric, dilated hypertrophy is rare, are reported in 3 cases. Example 1. Male, 47 years old, due to headache, dizziness 16 years, after the event palpitations, shortness of breath in January 8, 1992 admission. Usually blood pressure 21.3 / 14.6 kpa, the highest 28/16 kpa. Physical examination: blood pressure 17.3 / 9.3kpa, pulmonary non-ringing, apical beating in the left intercostal midclavicular midline 1cm, pulsation weak and dispersed, the heart bound to the lower left heart rate 90 beats / min, law , P_2> A_2, P_2 hyperthyroidism, the valve auscultation without noise, the lower end of the ribs and the liver, lower limbs slightly depressed edema. X-ray: non-paroxysmal borderline tachycardia, Rv_5 + Sv_1 = 4.4mv, ST_I aVL, v_5, v_6 down-ramp Move down