患者,女,26岁。自幼体弱,易患上呼吸道感染和肺炎。在我院门诊发现心脏有杂音,拟诊为“房间隔或室间隔缺损”。1975年在上海仁济医院经做右心导管检查确诊为“先心病,动脉导管未闭,伴肺动脉高压”。给予内科保守治疗。此次因感冒促使心悸、气短加重,伴咯血而于1987年元月10日入院。其主要体征为生长发育较差,唇与甲床轻度发绀,无杵状指趾。心前区无隆起,心界向左下扩大,心率98次/分,律齐。胸骨左缘2～4肋间可闻及Ⅲ级收缩期杂音,无明显震颤。P_2亢进,血压 Patient, female, 26 years old. Since childhood, frail, susceptible to upper respiratory tract infection and pneumonia. Found in our hospital outpatient heart murmurs, to be diagnosed as “atrial septal or ventricular septal defect.” Renji Hospital in Shanghai in 1975 by right heart catheterization confirmed as “congenital heart disease, patent ductus arteriosus, with pulmonary hypertension.” Give medical conservative treatment. The promotion of heart palpitations due to a cold, shortness of breath increased, with hemoptysis and January 1987, admitted to hospital. The main signs of poor growth and development, lips and nail bed mild cyanosis, without clubbing toe. Pre-anterior zone without uplift, left heart to expand heart, heart rate 98 beats / min, law Qi. Sternal left margin 2 ~ 4 intercostal can be heard and Ⅲ systolic murmur, no significant tremor. P_2 hyperthyroidism, blood pressure