【摘要】：正患者男,44歲,以"5年前出現(xiàn)勞累后乏力,半個月前胸悶氣短加重,偶有夜間憋醒,近1周有間斷性低熱"來診�；颊邿o高血壓、冠心病史,無外傷史,僅于發(fā)病前有爬坡經(jīng)歷。查體:體溫36.7℃,血壓100 mmHg/64 mmHg,心尖區(qū)聞及3/6級收縮期吹風(fēng)樣雜音。心電圖、冠狀動脈CTA無明顯異常,肺部CT平掃提示炎癥性病變可能性大。血細菌培養(yǎng)陰性。超聲心動圖檢查:二尖瓣后葉靠近后內(nèi)聯(lián)合處部分瓣體于收縮期翻入
[Abstract]:44 year old man, 44 years old, with "5 years ago tired after fatigue, half a month ago chest tightness and shortness of breath, occasionally nocturnal suffocation, nearly 1 weeks with intermittent low fever". Patients have no hypertension, coronary heart disease history, no history of trauma, only before the onset of climbing experience. Body temperature 36.7, 100 mmHg/64 mmHg, apex area and 3/6 stage systolic blower like miscellaneous There were no obvious abnormalities in the electrocardiogram. The CTA of the coronary artery had no obvious abnormalities, and the CT scan of the lungs suggested that the inflammatory disease was more likely. The blood bacteria culture was negative. Echocardiography: the posterior lobe of the mitral valve close to the posterior part of the posterior chamber was turned into the systolic phase.
【作者單位】： 中國醫(yī)科大學(xué)附屬第一醫(yī)院心血管超聲科;
【分類號】：R540.45;R542.51

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