论文部分内容阅读
主任医师:本例为完全性心内膜垫缺损合并感染性心内膜炎,这在临床上较为少见,值得讨论,以提高大家对本病的认识。先请报告病历。 住院医师:患者女,20岁,因活动后心慌、气促19年,加重伴发热半年,于1995年2月11日入院。患者自幼易患感冒、肺炎,10年前曾因肺炎、心衰住院治疗,听诊胸骨左缘3～4肋间有全收缩期杂音及轻度隆隆样舒张期杂音,心尖部全收缩期杂音,行右心导管及左右心室造影诊为先天性心脏病(原发孔缺损伴轻度肺动脉高压,二尖瓣裂,主动
Chief Physician: This case of complete endocardial cushion defect combined with infective endocarditis, which is relatively rare in clinical and worth discussing, in order to raise awareness of the disease. Please report the medical record first. Resident: Female patient, 20 years old, due to palpitation after activity, shortness of breath 19 years, increased fever with six months, on February 11, 1995 admission. Early childhood patients suffering from common cold, pneumonia, 10 years ago due to pneumonia, heart failure hospitalized, auscultation of the left sternal border 3 to 4 with systolic murmur and mild rumbling diastolic murmur, apex systolic murmur Right line catheter and left ventricle ventriculography diagnosed as congenital heart disease (primary hole defect with mild pulmonary hypertension, mitral valve cleft, active