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患者男,44岁。阵发胸闷1年。无胸痛、心悸。查体:血压140/86mm Hg(1mm Hg=0.133kPa),口唇、甲床无青紫,无杵状指、趾,胸骨左缘第3肋间可闻及/6级收缩期吹风样杂音。双下肢无水肿。心电图示:偶发房早,频发室早。X-线胸片示:肺血增多,右心房、右心室增大,肺动脉段凸出。经胸及经
Male patient, 44 years old. Paroxysmal chest boring for 1 year. No chest pain, palpitations. Examination: blood pressure 140/86 mm Hg (1mm Hg = 0.133kPa), lips, nail bed without bruising, no clubbing, toe, sternal left intercostal space can be heard and / 6 systolic hair-like murmur. No lower extremity edema. ECG shows: Sporadic room early, frequent room early. X-ray showed: increased lung blood, right atrium, right ventricular enlargement, protruding pulmonary artery segment. Tranquillage and by