患者,女,27岁。因发现心脏杂音10年余入院。平时体健。曾在外院诊断为“先天性心脏病”、“风湿性心脏瘸”、“心脏生理性杂音”。体检:血压:16.0/10.6kPa,胸廓无畸形。双肺正常。心前区未触及震颤。心率82次/分,律齐。胸骨左缘第三、四肋间闻及Ⅲ级收缩期滚动样杂音及舒张早期杂 Patient, female, 27 years old. Because of heart murmur more than 10 years admitted to hospital. Usually healthy. Have been diagnosed in the outer hospital as “congenital heart disease”, “rheumatic heart lame”, “cardiac physiological noise.” Physical examination: Blood pressure: 16.0 / 10.6kPa, thoracic no deformity. Normal lungs. Pre-cardiac area did not touch the tremor. Heart rate 82 beats / min, law Qi. The left sternal third and fourth intercostal smell and Ⅲ grade systolic roll-like murmur and early diastolic miscellaneous