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患儿女,三个月,足月顺产。生后常有咳嗽、吐白色泡沫样痰、呼吸费力,口唇青紫,76年10月因紫绀加重入院。听诊:双肺布满湿罗音,心前区双期隆隆样杂音,叩诊:心浊音区扩大右移、心率160次/分,X 线检查:双肺大片状实变,心界膨大,以右心两弓明显,抗心衰等治疗无效死亡。尸检所见:心界右移,右心及肺动脉膨大,肺动脉圆锥直径达2.5cm,右心房壁厚0.1cm,右心室高度肥厚,达1.9cm,左心室变薄仅0.5cm。左心房畸形,中部有一横隔,将左房分成上下两房,该隔厚0.1cm,镜下为
Children with children, three months, full-term delivery. Cough often after birth, spit white foam-like sputum, breathing hard, lips bruising, 76 in October due to cyanosis increased admission. Auscultation: the lungs covered with wet rales, precordial double rumble like murmurs, percussion: heart dullness area to expand right shift, heart rate 160 beats / min, X-ray examination: lungs large lamellar consolidation, expansion of the heart, To the right bow two bow significantly, anti-heart failure and other treatment died. Autopsy seen: right heart movement, right heart and pulmonary enlargement, pulmonary conical diameter up to 2.5cm, right atrial wall thickness 0.1cm, right ventricular hypertrophy, up to 1.9cm, left ventricular thinning only 0.5cm. Left atrial deformity, there is a central diaphragm, the left atrium is divided into two rooms, the thickness of 0.1cm, under the microscope