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临床资料患者,女,6年前因“活动后心悸、气促、咳嗽1个月余”来诊,查体心界稍向左扩大,心律齐,A2=P2,胸骨左缘第2、第3肋间可闻及2/6级柔和的收缩期吹风样杂音,胸骨左缘第4肋间闻及3/6级收缩期杂音。心脏彩色超声心动图提示右心房、右心室扩大,房间隔回声中断,缺损约29.4 mm;彩色多普勒探及经房间隔缺损左向右分流频谱,分流速度约0.88 m/s,三尖瓣口大量反流。患者在气管内插
Clinical data Patients, female, 6 years ago because of “activity palpitations, shortness of breath, cough for more than 1 month ” to diagnose, physical examination of the heart to expand to the left slightly, rhythm Qi, A2 = P2, left sternal border 2 , The 3rd intercostal can be heard and 2/6 gentle systolic hair-like murmur, sternal left intercostal 4th intercostal smell and 3/6 systolic murmur. Color echocardiography showed that the right atrium and right ventricle were enlarged, the atrial septum echo was interrupted and the defect was about 29.4 mm. The color Doppler sonography and left-to-right shunt spectrum of atrial septal defect, the shunt speed was about 0.88 m / s, the tricuspid valve Mouth a lot of reflux. The patient is intubated