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患者男,49岁。主因胸闷、气短半年,近1个月劳累后出现心前区闷痛、呼吸困难伴口唇发绀就诊,患者3个月前曾就诊于当地医院,疑诊为冠心病,当地医院超声心动图提示肺动脉高压。2016年3月5日患者以肺动脉高压查因收入我院呼吸科,心脏超声检查显示:右心扩大,右室流出道远端外侧壁近肺动脉瓣处可见不规则等回声附着(图1),范围约4.9cm×3.6cm,并延伸至肺动脉主干近段,右室流出道远端
Male patient, 49 years old. Mainly due to chest tightness, shortness of breath for six months, nearly 1 month after exertion precocious puberty, dyspnea with lip cyanosis treatment, patients 3 months ago visited a local hospital, suspected coronary heart disease, local hospital echocardiography prompted pulmonary artery high pressure. March 5, 2016 Patients with pulmonary hypertension check income due to respiratory disease in our hospital, cardiac ultrasound showed: right ventricular enlargement, right ventricular outflow tract near the lateral pulmonary wall near the pulmonary valve can be seen at irregular echo attachment (Figure 1) Range of about 4.9cm × 3.6cm, and extends to the proximal pulmonary artery, right ventricular outflow tract distal