病人男性,54岁。因进行性吞咽困难3个月余于2009-07-13入院。查体:神志清,心尖搏动在右锁骨中线第4肋间。食管胃钡餐显示,胃泡位于右侧,十二直肠从右向左走行(图1,2)。X线胸片所见:纵隔心影呈右位,心脏大血管向右侧完全转位(图3)。心电图提示右位心:Ⅰ导联与 Patient Male, 54 years old. Due to progressive dysphagia more than 3 months in 2009-07-13 admission. Examination: Consciousness, apex beat in the right intercostal midline 4 intercostal space. Esophageal barium meal shows that the stomach bubble is located on the right side, and the twelve rectum runs from right to left (Figure 1 and 2). X-ray findings: mediastinal heart shadow was the right position, the heart of the right ventricle full vessel transposition (Figure 3). ECG prompted right centroid: Ⅰ lead and