论文部分内容阅读
患者男,46岁,因心悸气短6年加重1个月入院。既往半年前曾患右上肢动脉栓塞现已愈。查体脉搏90次/分。二尖瓣面容、半卧位、颈静脉充盈、双肺府湿罗音,心界向左扩大,心率125次/分,节律绝对不整,心音强弱不等,心尖部可闻及两期病理性杂音。主动脉瓣区可闻及响亮粗糙的收缩期杂音向右颈部及锁骨下传寻,P_2>A_2、肝右肋弓下可能及
Male patient, 46 years old, due to palpitations shortness of breath 6 months to increase 1 month admission. Past history of the right upper extremity arterial embolism has been more than six months ago. Physical examination pulse 90 beats / min. Mitral valve face, semi-recumbent position, filling the jugular vein, lungs House wet rales, heart to the left to expand, the heart rate 125 beats / min, rhythm absolute irregular heart sound intensity range, apex can be heard and two pathological Sexual murmur. Aortic valve area can be heard and loud and rough systolic murmur to the right neck and subclavian search, P_2> A_2, may be under the right hepatic arch and