摘要
一、病例介绍1.病史摘要(1)一般情况:患者女性,年龄79岁,身高162 cm,体质量59.5 kg,因"间断心慌18年,加重伴胸闷3年"入院。患者约18年前风湿病后出现间断心慌,伴大汗、呼吸困难,就诊当地医院后考虑"二尖瓣关闭不全、左房扩大、心力衰竭",药物治疗后好转。近3年患者逐渐出现活动后胸闷、憋气,伴心前区针扎样痛,持续1~2 s好转,近1年频繁发作活动后心慌、大汗、呼吸困难,伴胸闷,症状较前加重,每月发作1次,自觉活动耐力明显降低,于外院就诊考虑"重度二尖瓣关闭不全、房颤、慢性肾功能不全",予药物治疗效果一般,为求进一步诊治,以"二尖瓣关闭不全"收入院。
作者
田甜
赵磊
尹春琳
傅槟槟
戴茹萍
林献忠
林晓
段福建
吴永健
袁素
王天龙
Tian Tian;Zhao Lei;Yin Chunlin;Fu Binbin;Dai Ruping;Lin Xianzhong;Lin Xiao;Duan Fujian;Wu Yongjian;Yuan Su;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Nephrology,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Department of Nephrology,National Regional Medical Center of Binhai Branch,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350212,China;Department of Anesthesiology,The Second Xiangya Hospital of Central South University,Changsha 410000,China;Department of Anesthesiology,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Department of Anesthesiology,National Regional Medical Center of Binhai Branch,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350212,China;Department of Intensive Care Unit,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Department of Intensive Care Unit,National Regional Medical Center of Binhai Branch,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350212,China;Ultrasound Imaging Center,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China;Department of Cardiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China;Department of Anesthesiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China)
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2024年第11期1397-1400,共4页
Chinese Journal of Anesthesiology
