【摘要】：正患者女,61歲,以"胸悶氣短2個(gè)月,加重1個(gè)月"為主訴入院�；颊�2年前因布氏桿菌抗體血管凝集試驗(yàn)1:400(++++),診斷為布氏桿菌病。入院查體:主動(dòng)脈瓣聽診區(qū)可聞及3/6級(jí)收縮期噴射性雜音,舒張期嘆氣樣雜音。血生化檢查:白細(xì)胞4.35×109/L,B型鈉尿肽2594pg/ml。布氏桿菌抗體血管凝集試驗(yàn)1:200(++++),血培養(yǎng)陰性(多次)。經(jīng)胸超聲心動(dòng)圖:主動(dòng)脈瓣呈三葉,瓣葉破壞,顯著增厚,附加多發(fā)強(qiáng)回聲小團(tuán)塊,開放受限,跨瓣血流速度加快,關(guān)閉時(shí)右冠瓣及附加團(tuán)
[Abstract]:The positive patient, 61 years old, was admitted to hospital with chest tightness and shortness of breath for 2 months and aggravation for 1 month. Brucellosis was diagnosed as brucellosis 2 years ago because of brucellosis antibody vascular aggregation test 1 鈮，

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