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患者女,34岁。因反复心慌、气促6年,加重4d入院。体格检查:心界向左下扩大,听诊心音增强,肺动脉瓣听诊区可闻及4/6级收缩期雷鸣样杂音,向左腋下传导,主动脉瓣听诊区可闻及舒张期2/6级杂音,二尖瓣听诊区可闻及3/6级全收缩期杂音。心率63次/min,血压102/38 mm Hg。超声提示:(1)先天性心脏病:主肺动脉窗(缺损0.7cm)、房缺(继发孔,缺损0.4cm);(2)主动脉瓣重度关闭不全(AR 6ml);(3)二尖瓣前叶脱垂伴重度关闭不全(MR 18ml);(4)左心增大(LA 412ml,LV 414 ml);(5)左心室收缩功能下降(FS
Female patient, 34 years old. Due to repeated palpitation, shortness of breath 6 years, increased 4d admission. Physical examination: heart to expand to the left, auscultatory heart sounds increased, pulmonary auscultation area can be heard and 4/6 systolic throat-like murmur, left axillary conduction, aortic valve auscultation area can be heard and diastolic 2/6 Noise, mitral auscultation area can be heard and 3/6 full systolic murmur. Heart rate 63 beats / min, blood pressure 102/38 mm Hg. Ultrasound tips: (1) congenital heart disease: the main pulmonary artery window (defect 0.7cm), atrial septal defect (secondary hole, defect 0.4cm); (2) aortic regurgitation (AR 6ml); Anterior mitral valve prolapse with severe regurgitation (MR 18ml); (4) left ventricular enlargement (LA 412ml, LV 414ml); (5) decreased left ventricular systolic function (FS