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患儿男性,10岁,因“发现心脏杂音9年余”入院。查体:发育正常,口唇无紫绀,颈静脉不怒张,双肺呼吸音清,心界不大,未及震颤,心率80次/min,胸骨左缘3、4肋间可及3/6级收缩期杂音,腹软,无压痛,肝脾肋下未扪及,双下肢无水肿。心电图示窦性心律不齐。胸片示:双肺纹理增粗,心影稍饱满。心脏超声示先天性心脏病,膜周部室间隔缺损(室水平左向右分流),心尖五腔切面和大血管短轴切面在10点位置示室间隔膜周部回声缺失(约6mm)(图1),左心功能正常。入院后行室间隔缺损介入封堵治疗。术中左心
Children, 10 years old, admitted to hospital for “more than 9 years of heart murmur.” Physical examination: normal development, cyanosis of the lips, jugular vein without tension, lung breath sounds clear, heart, tremor, heart rate 80 beats / min, sternal left intercostal and intercostal 3/6 Systolic murmur, abdominal soft, no tenderness, no palpable ribs and ribs, no lower extremity edema. ECG shows sinus arrhythmia. Chest X-ray showed: double lung texture thickening, heart shadow slightly full. Echocardiography showed congenital heart disease, perimembranous ventricular septal defect (ventricular left-to-right shunt), apical five-chamber view, and short-axis view of the great vessel at 10 o’clock showed a loss of echogenicity around the interventricular septum (about 6 mm) ), Left heart function is normal. Ventricular septal defect after admission interventional treatment. Intraoperative left heart