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例1:女,16岁,住院号92372。1978年5月8日入院。于生后一个月余因喂奶时气急、口唇发青,经医院诊断先天性心脏病,以后经常感冒咳嗽,6～7岁时有心悸气短,头晕易乏力。检查:发育较差,瘦小,脉搏96次/分,血压120/70毫米汞柱,口唇轻度发绀,颈静脉不怒张,心前区略隆起,心尖搏动弥散,心界向左扩大,胸骨左缘第Ⅱ～Ⅲ肋间有Ⅳ级粗糙的收缩期杂音,伴明显震颤,肺动脉第二音亢进,并可闻轻度舒张早中期杂音。杵状指(-),周围血管体征(-)。心电图示电轴左偏,双室肥厚。心音图:胸骨左缘第Ⅱ肋间有全收缩期杂音,杂音距第一心音时距约0.02秒,更换高频调时可见舒张期递减型
Example 1: Female, 16 years old, hospital number 92372. May 8, 1978 admission. More than a month after giving birth due to shortness of breath when angry, lips blue, the hospital diagnosis of congenital heart disease, often after a cold cough, 6 to 7 years old palpitations shortness of breath, dizziness and fatigue. Check: poor development, thin, pulse 96 beats / min, blood pressure 120/70 mm Hg, mild cyanosis of the lips, jugular vein does not anger, slightly anterior bulging, apex pulsation dispersion, heart left to expand, the sternum The left edge of Ⅱ ~ Ⅲ intercostal Ⅳ grade rough systolic murmur, with significant tremor, pulmonary tone of the second tone hyperthyroidism, and can be heard mild early mid-murmur noise. Clubbing (-), peripheral vascular signs (-). ECG left axis deviation, double room hypertrophy. Phonocardiogram: sternum left edge of the second intercostal systolic murmur, noise from the time of the first heart sound about 0.02 seconds, when the replacement of high-frequency diastolic diminished visible type