老年人3房心合并房间隔缺损1例  

One case of an elderly man with cor triatriatum and atrial septum defect

作　　者：吴存瑾[1] 王林[1] 刘柏年[1] 高雪锦[1] 富华颖[2] 

机构地区：[1]天津医科大学第二医院干部保健科,天津300211 [2]天津医科大学第二医院心脏科,天津300211

出　　处：《临床心血管病杂志》2013年第9期717-718,共2页Journal of Clinical Cardiology

摘　　要：1病例资料患者,男,80岁,主因＂反复气促伴双下肢水肿6年余,加重2周＂入院。患者于6年前多于劳累时出现气促、不能平卧伴双下肢凹陷性水肿,曾就诊于我院,诊断为＂二尖瓣狭窄合并心房颤动＂,给予强心、利尿等抗心力衰竭（心衰）治疗后,病情可缓解,平时口服＂地高辛0.125mg/d,呋塞米4片/d＂治疗。此后多因肺部感染诱发加重心衰,经抗感染及抗心衰治疗后病情均可缓解。本次于入院前2周无明显诱因再次出现上述症状而来我院。既往高血压病5年,肾功能不全5年。An 80 year-old man presented with repeated dyspnea accompanying lower limbs edema 6 years,aggravated 2 weeks.Echocardiography showed that the left atrium was divided into upper and lower chamber with an approximately 18.7 mm echo defect in the center and the atrial septal had a 3.7 cm echo defect.Diagnosis was congenital heart disease,cor triatriatum,left atrial septal defect,pulmonary hypertension.After admission we gave him with diuretic,vasodilator,β blockers.The clinical symptoms improved markedly and the patient discharged.

关 键 词：先天性心脏病 3房心 房间隔缺损 老年人 

分 类 号：R541.1[医药卫生—心血管疾病]