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患者,女,25岁,未婚,农民.自幼有心悸,活动后胸闷,近二年症状加重.时有头昏、头痛,体力减退,无月经.体检:发有差,身高149厘米,体重33公斤.血压80/50,面部黑痣与雀斑较多,智力尚可,无颈蹼.上颌前突,后发际不低,腋毛与阴毛缺如,两乳房未发育.心脏向左下轻度扩大,心尖在左锁骨中线第5肋间外1厘米,心前区有Ⅳ级收缩期粗糙杂音,向右传导,有震颤,心律齐.腹平软.肝脾助下未扪及.肘外翻,小拇指未节稍屈曲畸形.外阴是幼女型.妇科检查:子宫前位,约小拇指大小呈条索状,未触及附件.化验:血常规正常,未查性染色质及染色体核型.蛋白电淙正常图谱,胆固醇135毫克%,甘油三酯72毫克%,肝功正常,血浆总蛋白7.1克,白蛋白4.6克,球蛋白2.5克,
Patient, female, 25 years old, unmarried, farmer. Palpitations since childhood, chest tightness after activity, the symptoms increased in the past two years when there is dizziness, headache, fatigue, no menstruation. Physical examination: hair poor, height 149 cm, weight 33 kg. Blood pressure 80/50, facial mole and freckles more intelligence, no neck web maxillary protrusion, after the hair is not low, armpit hair and pubic hair missing, the two breasts undeveloped heart slightly lower left Enlarged, apex in the left subclavian midline 5th intercostal space 1 cm, the anterior pituitary Ⅳ grade systolic rough murmur, conduction to the right, with tremor, Qi heart Qi. Abdomen soft. Turn, the little thumb is not flexion deformity .Vulvus is a young girl .Gynecological examination: the anterior uterus, about the size of a small thumb was cords, did not touch the attachment .Check: normal blood, not check the chromatin and karyotype.Protein Electric 淙 normal map, cholesterol 135 mg%, 72 mg% of triglycerides, normal liver function, total plasma protein 7.1 g, albumin 4.6 g, globulin 2.5 g,