患者,女,6岁,因“发现心脏杂音3年”于2004年10月11日入院。平时无不适症状,发育正常。入院时体检于胸骨左缘第3、4肋间可闻及3/6级收缩期杂音伴震颤,余均为阴性。心电图为窦性心律不齐;X线胸片提示双肺纹理增多,心外形大致正常;超声心动图示:先心病室间隔膨出瘤并室间隔缺损(V The patient, female, 6 years old, was admitted to hospital on October 11, 2004 for “finding heart murmur for 3 years.” Usually no symptoms, normal development. On admission, physical examination on the left margin of the sternum can be heard in the intercostal space between the third and fourth quarters of systolic murmurs and tremor, and the remaining were negative. Electrocardiogram for sinus arrhythmia; X-ray showed double lungs increased texture, heart shape is generally normal; echocardiography: congenital heart disease and ventricular septal defect with ventricular septal defect (V