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1病例介绍患者男,45岁。因“气促、心累1年,夜间呼吸困难6个月,加重3 d”于2012年5月18日急诊入院。急诊胸部CT示:双肺呈慢支气管炎、肺气肿改变;左心房及左心室增大;双侧胸腔积液。予以抗感染、抗心衰治疗后,于第2天入院治疗。入院查体:体温36.0℃,脉搏116次/min,呼吸18次/min,血压95/55 mm Hg(1 mm Hg=0.133 kPa)。心界扩大。心脏彩色超声检查:感染性心内膜主动脉瓣二叶式畸形、赘生物形成,瓣膜穿孔,主动脉瓣反流(重度),二尖瓣反流(中-重度)。入院
1 case description Patient male, 45 years old. Because of “shortness of breath, heart tired 1 year, 6-month breathing difficulties at night, increased 3 d ” on May 18, 2012 emergency admission. Emergency chest CT showed: lung was slow bronchitis, emphysema changes; left atrial and left ventricular enlargement; bilateral pleural effusion. To be anti-infective, anti-heart failure treatment, admitted to hospital on the 2nd day of treatment. Admission examination: body temperature 36.0 ℃, pulse 116 beats / min, breathing 18 beats / min, blood pressure 95/55 mm Hg (1 mm Hg = 0.133 kPa). Expand the heart. Cardiac color sonography: infective endocardial aortic valve bifida deformity, neoplasia, valve perforation, aortic regurgitation (severe), mitral regurgitation (moderate-severe). Admission