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彩色多普勒超声诊断肾假性动脉瘤并肾动静脉瘘一例

许进,姚立芳,马玲,唐榕,许伟,尹学英

Chinese Journal of Medical Ultrasound(Electronic Edition)（2009）

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Abstract
患者男,29岁.2004年10月被刀扎伤左侧腹部,急诊行左肾破裂修补术.术后逐渐出现高血压、活动后气喘,并日渐加重,体力活动受限,以高血压并心力衰竭入院.查体: 心脏扩大,二、三尖瓣区可闻及收缩期杂音;血压190/140 mm Hg(1 mm Hg=0.133 kPa), 肝肋下2 cm,双下肢水肿;左中腹可闻及血管杂音.彩色超声心动图检查:全心扩大,左心室壁肥厚并左心室收缩功能减低,少量心包积液.
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