论文部分内容阅读
患者女,22岁,以“间断性心悸十年,加重三个月”为主诉入院。体检:心尖搏动位于胸骨右缘第四肋间,心尖部可闻及SM IV/6级杂音,主动脉瓣区及胸骨右缘三、四肋间可闻及SMⅢ/6级杂音。心电图示先天性右位心,X 线示内脏转位。二维超声心动图;心脏大部分位于胸骨右缘,心尖指向右下,肺动脉明显增宽。左室长轴及心脏四腔切面均可见室间隔回声中断约1.5cm,主动脉短轴切面见肺动脉位于主动脉右前上方,并于主动脉并行。右心室与主动脉相
Female patient, 22 years old, with “intermittent heart palpitations ten years, aggravating three months” as the main complaint of admission. Physical examination: Apex beat is located in the fourth intercostal space on the right margin of the sternum. The apical portion can be heard SM IV / 6 murmurs. The aortic valve area and the right or left sternal of the sternum can be heard intercostally and SM Ⅲ / 6 murmurs. ECG shows congenital right centroid, X-ray showed visceral transposition. Two-dimensional echocardiography; most of the heart is located in the right edge of the sternum, apex pointing to the right lower pulmonary artery was significantly wider. Left ventricular long axis and cardiac four-chamber section can be seen interventricular septal echo was interrupted about 1.5cm, the aorta short axis view of the pulmonary artery is located in the right front of the aorta, parallel to the aorta. Right ventricle and aorta phase