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感染性心内膜炎并发腹腔干假性动脉瘤破裂致死亡一例 被引量:1

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摘要 患者,女,18岁。乏力5个月,心慌气短1个月。于5个月前出现乏力,渐加重,3个月前在当地医院诊断为肾小球肾炎。1个月前自诉心慌气短,发热两天(体温达39℃)。心脏彩色超声心动图(UCG)示:二尖瓣前叶赘生物,二尖瓣反流。近1周心悸、乏力加重,尿量减少。入院查体:血压100/80mmHg(1mmHg=0.133kPa),慢性病容,心率105次/分,节律整齐,心尖部可闻及收缩期杂音,腹软、无压痛及反跳痛。UCG示:二尖瓣叶损害,后叶脱垂,前叶见2mm×3mm赘生物。心电图:窦性心律,左心室高电压。腹部超声;腹主动脉上段动脉瘤。
出处 《中国循环杂志》 CSCD 北大核心 2006年第1期18-18,共1页 Chinese Circulation Journal
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