患者男,50岁,因活动后心慌气急并反复黑朦头晕4年而入院。无高血压、心脏病史,家族中无类似患者。查体:血压17/7KPa,非瘦长体型,颈静脉充盈。两肺无异常,心界向左扩大,心率88次/min,律不齐,胸骨右缘2、3肋间可闻及Ⅲ级收缩期杂音及舒张期哈气样杂音,向心尖部及颈部传导,周围血管征阳性;肝略大;脊柱四肢正常。眼 Male patient, 50 years old, due to activity, panic and repeated dizzy dizzy 4 years and admitted to hospital. No high blood pressure, history of heart disease, no similar family in patients. Physical examination: blood pressure 17 / 7KPa, non-elongated body, filling the jugular vein. No abnormal lungs, left heart to expand, the heart rate 88 beats / min, irregular arrhythmia, sternal border 2,3 can be heard between the intercostal and systolic murmur and diastolic Kazakh-like noise to the apical and neck Conduction, positive peripheral vascular signs; slightly larger; spine limbs normal. eye