动脉导管未闭封堵导丝嵌顿清除时腹主动脉夹层动脉瘤破裂一例
韩娜,吴健,于波,张波,李振超,曹瑞,刘向兰,朱静怡,迟迪,孙勇
摘要(Abstract):
<正>患者女,36岁。活动后心悸伴有气短30余年,加重6个月入院。入院查体:血压110/70 mmHg(1 mmHg=0.133 kPa),颈静脉怒张,双肺呼吸音清,未闻及明显干湿性啰音,心界扩大,心尖搏动点位于左腋中线第6、7肋间,心率160次/min,节律绝对不齐,第一心音强弱不等,胸骨左缘第二肋间可闻及连续的双期机械样杂音,伴有震颤,肝于肋下5.0 cm可触及,下肢无浮肿。超声心动图示:左心房内径42.6 mm,左心室舒张末期内径65.0 mm,右心房内径45 mm×57.4 mm,右心室轻大,左肺动脉侧与降主动脉之间可见漏斗状暗区相通,主动脉端宽12.9 mm,
关键词(KeyWords): 动脉导管未闭;主动脉夹层
基金项目(Foundation):
作者(Author): 韩娜,吴健,于波,张波,李振超,曹瑞,刘向兰,朱静怡,迟迪,孙勇
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