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患者 ,女 ,10岁。出生后发现心脏杂音。活动耐力差 ,不喜蹲踞 ,无咯血、晕厥及抽搐史。口唇紫绀 ,杵状指 (趾 ) ,双颈静脉无怒张 ,胸廓无畸形 ,双肺呼吸音清晰 ,未闻及干湿罗音。心率 95次 /分 ,律齐 ,胸骨左缘三肋间可闻及 - 级收缩期返流心杂音 ,肺动脉瓣区第二心音增强。
Patient, female, 10 years old. Heart murmur was found after birth. Activity endurance poor, do not like to squat, no hemoptysis, syncope and convulsions history. Lips cyanosis, clubbing (toe), no jugular vein engorgement, thoracic deformity, clear lung breath sounds, no smell and wet and dry rales. Heart rate 95 beats / min, law Qi, sternal left intercostal space can be heard - systolic murmur regurgitation, pulmonary valve area increased second heart sound.