肺心病患者出现肺动脉瓣关闭不全,国内有个别报告。我院自1979年10月至1981年11月发现二例,报告如下。例1:患者男性,66岁,住院号9980。慢性咳喘30余年,近十余年病情加重。咳嗽,咯痰,呼吸困难,心悸,尿少,下肢浮肿。于1979年10月9日入院。查体:一般情况差,紫绀,端坐呼吸,颈静脉怒张伴搏动。两侧胸廓膨隆,叩诊呈过清音,两下肺闻及水泡音。叩诊心界不大,剑突下心脏搏动明显,心率120次/分,偶闻早搏,三尖瓣区闻及返流性收缩期杂音,胸骨左缘第二、三肋间闻及收缩早期喷射音(喀喇音)。腹平,肝肋下2厘米,脾未触 Pulmonary heart disease patients with pulmonary insufficiency, there are a few reports. Our hospital from October 1979 to November 1981 found two cases, the report is as follows. Example 1: Male patient, 66 years old, hospital number 9980. Chronic cough more than 30 years, more than 10 years of exacerbations. Cough, expectoration, dyspnea, heart palpitations, oliguria, lower extremity edema. On October 9, 1979 admitted. Physical examination: poor general condition, cyanosis, sitting breathing, jugular vein engorgement. Swelling on both sides of the thorax, percussion was over voiceless, two lung smelling and blisters sound. Percussion little heart, the heart under the xiphoid beating significantly, heart rate 120 beats / min, premature ejaculation, tricuspid regurgitation and reflux systolic murmur, sternal left edge of the second, three intercostal smell and contraction early jet Sound (Kara tone). Abdomen flat, liver ribs 2 cm, the spleen is not touched