患者女性、23岁、自觉轻微活动后出现头痛、头晕、乏力、胸闷、气短等症状。查体:身高1.48M,体重38kg,脉搏细弱,BP12/9.33KPa。心底部可扪及明显收缩期震颤;心浊音界稍向左扩大;胸骨右缘2～3肋间可闻及响亮而粗糙之喷射性收缩期杂音,不向颈部传导。心脏X光片示:左房大,左室稍大(心尖变圆)。升主动脉扩张;透视下搏动明显增强,主动脉结小,肺淤血。心电图诊断:左房、左室肥大。 The female patient, aged 23, developed headache, dizziness, weakness, chest tightness, shortness of breath and other symptoms after minor activities. Physical examination: height 1.48M, weight 38kg, weak pulse, BP12 / 9.33KPa. Heart palpable palpable significant systolic tremor; heart dull voice to the left to expand slightly; right breast 2 to 3 intercostal can smell and loud and rough jet systolic murmur, not to the neck conduction. X-ray film showed: left atrial, left ventricular slightly larger (apex rounded). Ascending aorta dilatation; pulsation significantly enhanced under fluoroscopy, aortic small knot, pulmonary congestion. ECG diagnosis: left atrium, left ventricular hypertrophy.