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心脏白塞氏病较少见,合并瓣膜病变时易误诊为其它疾病。我院收治1例,报告如下。 患者,男,55岁。以反复胸闷1年,心前区疼痛3天于1993年2月24日入院。10年来口腔及阴茎龟头处反复出现溃疡,上肢静脉穿刺处出现脓疮,激素治疗后好转,1990年诊断为白塞氏病,体检及心电图未发现心脏病变。一年前出现胸闷、腹胀及便秘,心脏听诊无异常,3天前突然出现心前区疼痛,伴心慌、胸闷、在本单位职工医院治疗好转后入我院。既往无冶游史及游走性关节痛病史,体检:T36.8℃,BP 21/8kPa,颈部皮肤可见痤疮样皮疹,右侧舌系带处可见一米粒大小的浅表溃疡。心界向左下扩大,节律齐,胸骨左缘第4肋间可闻及舒张期泼水样杂音,向心尖区传导。肝脾不大,下肢无水肿。水冲脉、股动
Heart Behcet’s disease is rare, misdiagnosis of other diseases when combined valvular disease. 1 case admitted to our hospital, the report is as follows. Patient, male, 55 years old. To repeated chest tightness for 1 year, precordial pain for 3 days in February 24, 1993 admission. Over the past 10 years, mouth and penis glans repeated ulcers, upper limb venous puncture abscess, improved after hormone therapy, Behcet’s disease was diagnosed in 1990, physical examination and ECG did not find heart disease. A year ago, chest tightness, abdominal distension and constipation, auscultation of the heart without exception, suddenly appeared 3 days ago precordial pain, with palpitation, chest tightness, after the hospital staff hospital improvement improved into our hospital. Previous history of travel and no history of migratory joint pain, physical examination: T36.8 ℃, BP 21 / 8kPa, acne-like skin rash can be seen on the neck, right cerebellar ligaments can be seen at a grain size of superficial ulcers. Heart to the left to expand, rhythm Qi, the left intercostal sternal intercoper can be heard diastolic water-like murmurs, conduction to the apex area. Small spleen and liver, lower extremity without edema. Shui pulse pulse, the stock move