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右位心并内脏-心房位置不一致(Visceroa-trial discordance)是临床上极为罕见的畸形,现将我院发现的2例报告如下。 例1 女,15岁。1岁时出现青紫并发现心杂音,活动后紫绀加重并心慌气促,无肺炎及蹲踞史。体检;明显紫绀,杵状指(趾),右胸廓稍凸起,心尖搏动位于右锁骨中线5肋间,心浊音界在其外侧0.5cm。胸骨右沿2肋间第二音增强,3肋间闻Ⅲ级吹风样收缩期杂音。肝右肋下1cm。心电图:PⅠ、Ⅱ、aVL直立,PⅡ、aVR倒置,额面P电轴-30～-70°,PR间期0.12秒。QRS在V_5R呈rS,V_1呈RS,V_5呈qR。超声心动图示“大
Visceroa-trial discordance is extremely rare clinical deformity, now the hospital found 2 cases are reported as follows. Example 1 Female, 15 years old. 1 year old appeared bruising and found heart murmur, aggravating cyanosis after activity and flustered, without pneumonia and squatting history. Physical examination; obvious cyanosis, clubbing (toes), the right chest slightly raised, apex beat in the right intercostal midline 5 intercostal, cardiac voiced sound in its lateral 0.5cm. Sternal right along 2 intercostal second sound enhancement, 3 intercostal smell grade hair-like systolic murmur. Liver Right rib 1cm. ECG: P Ⅰ, Ⅱ, aVL upright, P Ⅱ, aVR inversion, frontal plane P axis -30 ~ -70 °, PR interval of 0.12 seconds. QRS in the V_5R was rS, V_1 was RS, V_5 was qR. Echocardiography "big