论文部分内容阅读
病例:男,15岁。自幼易患肺炎,体检发现心脏杂音,一直诊断为“先天性房间隔缺损”。1986年12月18日再次以房间隔缺损合并肺炎住院。查体:胸郭扁平,呈薄饼状(Pancake),肩胛间区明显凹陷,胸骨左缘二、三肋间可闻及3级粗糙的收缩期喷射性杂音,坐位及吸气末减弱,深呼气末、卧位及胸件加压听诊时杂音明显增强。胸片:两肺正常,肺动脉段稍膨隆。侧位片见胸椎平直,胸廓前后径9.0cm,前后径/横径比值0.315(横径28.5cm),心前间隙闭塞,心后间隙明显缩小。心电图:不完全性右束支传导阻滞,左室高电
Case: Male, 15 years old. Early childhood pneumonia, physical examination found heart murmur, has been diagnosed as “congenital atrial septal defect.” December 18, 1986 again with atrial septal defect pneumonia combined hospitalization. Examination: Chest Guo flat, was pancake-like (Pancake), significant depression between the interscapular region, the sternal border between the second and third intercostal can be heard and 3 rough systolic jet murmur, sitting and end of inhalation weakened, deep breath At the end, chest and chest compression pressure significantly increased when hearing auscultation. Chest X-ray: normal lungs, pulmonary artery segment slightly bulging. Lateral films see the thoracic vertebral straight, thoracic anteroposterior diameter of 9.0cm, anteroposterior diameter / diameter ratio of 0.315 (diameter of 28.5cm), anterior heart gap occlusion, heart space was significantly reduced. ECG: incomplete right bundle branch block, left ventricular high