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患者女,13岁。活动后出现心慌、胸闷1月余。查体:胸骨左缘第2肋间可闻及Ⅱ～Ⅲ级收缩期吹风样杂音。彩色多普勒检查示房间隔中部回声中断约15mm,血流左向右分流。诊断为:先天性心脏病,房间隔缺损。 1996年7月在局麻下用介入法经右股静脉行房间隔缺损双伞闭合术。术中钮扣式补片脱落至右心腔内,急诊在全麻体外循环心内直视下行心脏腔内异物取出并行房间隔缺损修补术。心内探查见房间隔缺损约有25mm×23mm大小。缺损的房壁侧几乎无缺损缘,心腔内未见钮扣式补片异物,术中再次X
Female patient, 13 years old. After the event of palpitation, chest tightness in more than 1 month. Physical examination: the second intercostal sternum can be heard from the left margin and Ⅱ ~ Ⅲ systolic hair-like murmur. Color Doppler examination revealed atrial septal echogenic interrupt about 15mm, left to right flow diversion. Diagnosed as: congenital heart disease, atrial septal defect. In July 1996 under local anesthesia with interventional method via the right femoral vein atrial septal defect double umbrella closure surgery. Intraoperative button patch off to the right heart cavity, emergency under general anesthesia cardiopulmonary bypass heart descend the heart cavity foreign body out and parallel atrial septal defect repair. Cardiac exploration see atrial septal defect about 25mm × 23mm size. Almost no defect in the wall side of the defect-free edge of the heart cavity no button-type patch foreign body, intraoperative X