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患者,男,24岁,因反复发热4月入院。入院体检:精神萎靡,高热面容,发育营养较差。T38～40℃,BP16/6kPa。心率120次/min,律齐、胸骨左缘肺动脉瓣区间及粗糙的连续性杂音,向心前区及左腋下传导。二尖瓣区Ⅱ级收缩期杂音,柔和。肝肋下3cm,剑突下3cm。X线胸片示两肺纹理增粗、增多,右下肺明显,两肋膈角锐利;心脏肺动脉段突出,左心室扩大,主动脉球缩小。符合PDA表现和心衰。心电图示左
Patient, male, 24 years old, admitted to hospital on April due to repeated fever. Admission medical examination: apathetic, hot face, poor development and nutrition. T38 ~ 40 ℃, BP16 / 6kPa. Heart rate 120 beats / min, law Qi, left pulmonary border of the sternum and coarse continuity of the murmur, to the precordial and left axillary conduction. Mitral valve area Ⅱ systolic murmur, soft. Liver ribs 3cm, xiphoid 3cm. X-ray showed thickening of both lungs texture, increased significantly lower right lung, two sharp corners of the diaphragm; pulmonary artery prominent, enlarged left ventricle, aortic balloon contraction. In line with PDA performance and heart failure. ECG left