论文部分内容阅读
女患,61岁,自1987—02开始感到心悸、胸闷,近两年来出现心前区不适及不典型心绞痛,活动后略有气急,能胜任一般家务,无昏厥史。于1991—05在我部诊治,查体:心界不大,心律齐,无病理性杂音。辅助检查,心电图:Ⅱ、Ⅲ、avF导联出现异常Q波达0.3～0.4mv.Q/R>l/4,T波Ⅱ、Ⅲ,avF低平。近半年来复查上述导联q波异常加深。超声检查采用AIOKass D—870型彩色多普勒诊断仪检查结果:主动脉、左心房及二尖瓣均正常、左室内径收缩末期34mm,舒张末期为51mm,后壁厚度8mm,活动幅度7mm,左室流出31mm,近心尖部室间隔厚度15mm,室间隔厚度与左室后壁厚度之比>1.3,幅度降低,余正常。x线心脏三位片:心脏外形基本正常。综上检查诊断为肥厚型非梗阻性心肌病。该患发病后的几年间曾在几
Female, 61 years old, from 1987-02 began to feel heart palpitations, chest tightness, precordial discomfort and atypical angina in the past two years, after a slight hurry, able to perform general housework, no syncope history. In 1991-05 in my department diagnosis and treatment, physical examination: little heart, heart rate Qi, no pathological murmur. Auxiliary examination, ECG: Ⅱ, Ⅲ, avF leads abnormal Q wave 0.3 ~ 0.4mv.Q / R> l / 4, T wave Ⅱ, Ⅲ, avF low level. Nearly six months to review the lead q wave abnormal deepening. Ultrasound examination using AIOKass D-870 color Doppler diagnostic test results: aortic, left atrium and mitral valve were normal, the end systolic left ventricular diameter 34mm, end diastolic was 51mm, thickness of the posterior wall 8mm, amplitude of activity 7mm, Left ventricular outflow 31mm, near the apex of the interventricular septum thickness of 15mm, ventricular septal thickness and left ventricular posterior wall thickness ratio> 1.3, amplitude decreased, more than normal. x-ray three tablets: heart shape is normal. On the diagnosis and diagnosis of hypertrophic non-obstructive cardiomyopathy. How many years after the onset of the illness?