二尖瓣狭窄致巨大左心房顽固性心衰1例

Medical Information(2011)

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Abstract
<正>1病例患者,女,60岁,因反复胸闷、气短、心慌30年,再发加重1月入院。患者于30年前开始反复出现胸闷、咳嗽、心慌症状,活动时症状加重,无胸痛、头晕、黑朦、晕厥,曾在本院多次住院,做心脏彩超诊断为风湿性心脏瓣膜病、二尖瓣狭窄伴二尖瓣关闭不全。1月前患者再次出现上述症状,在外院给予速尿20mg 3次/d,同时静脉推注20mg2次/d,硝酸甘油10mg加入5%葡萄糖静脉滴注,西地兰0.3mg加入
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