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1病例资料患者,女,37岁,因发现心脏杂音36+年入院。患者自幼发现心脏杂音,易患感冒,生长发育较同龄人滞后,无活动后口唇发绀及蹲踞现象。入院体查:血压120/67mmHg(1mmHg=0.133kPa),颈静脉不充盈,双肺呼吸音清,未闻及干湿性啰音,心界不大,心率70次/min,律齐,胸骨左缘第3~4肋间闻及3/6级收缩期吹风样杂音,双下肢无水肿。心电图提示窦性心律,电轴正常。胸片提示肺血增多,心胸比正常,肺动脉段膨隆。心脏超声检查提示左室右房通道(Left ventricular-right atrium communication,
1 case data patients, female, 37 years old, admitted to hospital because of heart murmur 36+ years. Patients found heart murmur at an early age, susceptible to colds, growth and development than their peers lag, no cyanosis and squatting after the phenomenon of the lips. Admission physical examination: blood pressure 120 / 67mmHg (1mmHg = 0.133kPa), jugular vein is not full, lung breath sounds clear, unheard and wet and dry rales, heart, heart rate 70 beats / min, law Qi, The left margin of 3 ~ 4 intercostal smell and 3/6 systolic hair-like murmur, no lower extremity edema. Electrocardiogram prompted sinus rhythm, normal axis. Chest X-ray showed increased lung blood, chest than normal, pulmonary artery segment bulging. Echocardiography prompted left ventricular right atrium communication (Left ventricular-right atrium communication,