摘要
患者女,49岁,反复胸闷气促1年.TRUST阴性,TPPA 1：1 280.心脏彩色多普勒示：右房明显增大,三尖瓣重度返流,二尖瓣、肺动脉瓣轻度返流,心包积液（重度）,左心功能受损,FS：16％,EF：33％.予以利尿剂、地高辛、扩血管药等治疗后无明显好转.单用阿奇霉素胶囊口服1月后,症状、心功能明显改善.诊断：梅毒性心血管病.
The female patients was 49-year-old and had repeated chest tightness and shortness of breath for one year.The laboratory examination showed that TRUST was negative,and TPPA1：1280.Cardiac color Doppler showed obvious right atrial enlargement,severe tricuspid regurgitation,mild mitral valve and pulmonary regurgitation,pericardial effusion （severe）,left ventricular dysfunction,FS：16%,and EF：33%.There was no significant improvement after be diuretics,digoxin,vasodilators treatment.Her symptoms and heart function were improved significantly after orally taking azithromycin capsule for one month.She was diagnosed with syphilitic cardiovascular disease.
作者
戚欣雨
韩雪
吴中
毛祖豪
周冼苡
胡永轩
Qi Xinyu;Han Xue;Wu Zhong;Mao Zuhao;Zhou Xianyi;Hu Yongxuan(Department of Dermatology and Venereology,Third Hospital,Southern Medical University,Guangzhou 510630,China)
出处
《国际医药卫生导报》
2018年第16期2424-2425,共2页
International Medicine and Health Guidance News
基金
广东省自然科学基金资助（2015A030310035,2017A030313457）
关键词
梅毒
心血管
阿奇霉素
Syphilitic
Cardiovascular
Azifftromycin
