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患者女,48岁,育2子。3年前曾在当地医院行子宫肌瘤摘除术。近期内活动后心慌、气短3个月,体检:头颈部未见异常,双肺呼吸音清晰,未闻及干湿啰音,心前区未见明显隆起及凹陷,心尖搏动位于左第五肋间锁骨中线内0.5 cm处,无抬举高,未触及细震颤,心界不大,心率74次/min,律齐,心音有力,三尖瓣听诊区可闻及“吹风”样收缩期杂音,未闻及心包摩擦音。
Female patient, 48 years old, 2 children. 3 years ago in a local hospital line uterine fibroids removal. In the near future after the event palpitation, shortness of breath for 3 months, physical examination: no abnormalities in the head and neck, lungs breath sounds clear, no smell and wet and dry rales, precordial no obvious uplift and depression, apical beats in the left fifth Intercostal clavicle in the midline 0.5 cm, no lift high, did not touch the fine tremor, the heart is not heart rate, heart rate 74 beats / min, law Qi, heart sound and powerful, tricuspid auscultation area can smell and Period murmur, no smell and pericardial friction sound.