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1 临床资料 患者,男,38岁,于1972年体检发现心脏杂音,1986年起间歇性心前区痛伴胸闷气急,曾用丹参片等治疗,效果不明显,于1989年9月5日入院。体检:心浊音界右移,4个瓣膜听诊区均有Ⅱ-Ⅲ级收缩期吹风性杂音,以胸骨左右缘第五肋间最响。心电图:电轴右偏+173°、PI.aVL倒置,Ⅱ.aVF.V_5R直立,P电轴+120°,QRS波:V_1呈Rs型,V_3呈rS型,V_(4～6)呈QS型,V_1导联ST段及V_3R、V_5R导联ST段均下降0.1mV,T_(V1)倒置。超声心动图:心尖四腔心显示右侧心室为形态学的左室、房室瓣呈2叶,瓣环位置较高。腱索附着于室壁;左侧心室为形态学的右室,房室瓣为3叶,瓣环位置较
1 clinical data of patients, male, 38 years old, found in 1972 physical examination heart murmur, intermittent anterior chest pain with chest tightness and angina in 1986, had treated with Danshen tablets, the effect is not obvious, in September 5, 1989 admission . Physical examination: right turbid voice boundary shift, four valve auscultation area have Ⅱ-Ⅲ systolic hair blowing noise to the sternum left and right edge of the fifth intercostal loudest. Electrocardiogram: right axis deviation + 173 °, PI.aVL inversion, Ⅱ.aVF.V_5R upright, P axis + 120 °, QRS wave: V_1 was Rs type, V_3 was rS type, V_ (4 ~ 6) was QS ST segment of V_1 lead and ST segment of V_3R and V_5R lead decreased 0.1mV and T_ (V1) was inverted. Echocardiography: apical four-chamber heart showed right ventricular morphological left ventricle, atrioventricular valve was 2 leaves, annulus position higher. Tendon attached to the wall; left ventricular morphological right ventricle, atrioventricular valve 3 leaves, annulus position more than