Weifang People's Hospital, Weifang, China.
Clin Med (Lond). 2022 Mar;22(2):160-162. doi: 10.7861/clinmed.2021-0770.
A 44-year-old woman presented to the emergency department with sudden chest tightness and breathlessness, and a chest X-ray revealed unilateral pulmonary oedema (UPO). Colour Doppler echocardiography showed that the leaflet prolapsed with severe regurgitation, and the regurgitant jet tended to blow rightward within the left atrium. With the assistance of mechanical ventilation and venoarterial extracorporeal membrane oxygenation, the patient underwent mitral valve replacement. UPO is easily misdiagnosed, which leads to delays in treatment. Therefore, accurate diagnosis and immediate treatment are crucial.
一位 44 岁女性因突发性胸闷和呼吸困难到急诊就诊，胸部 X 光片显示单侧肺水肿（UPO）。彩色多普勒超声心动图显示，瓣叶脱垂伴严重反流，反流射流倾向于在左心房内向右吹。在机械通气和静脉-动脉体外膜肺氧合的辅助下，患者接受了二尖瓣置换术。UPO 容易误诊，导致治疗延误。因此，准确的诊断和及时的治疗至关重要。
