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本文对南京市11,199名入托儿童进行心脏听诊,查出Ⅰ级杂音1,891(16.8%),Ⅱ级杂音152人(1.4%),Ⅲ级和Ⅲ级以上杂音20人(0.17%)。全部Ⅰ级杂音经一年随访,杂音消失302人,转为Ⅱ级杂音45人,该45人加查胸透和心电图,并有一例做了超声心动图,均为正常。最后均判断为无害性杂音。Ⅰ级收缩期杂音在一年左右时间内进行三次以上门诊复查,均做心电图、胸透,9例做了超声心动图,部分小儿请心脏内、外科会诊。结果94人(61.8%)胸透及心电图正常,可判断为无害性杂音;43人(28.1%)有一项不正常,难以判断还需继续随访,8人(9.2%)不
In this paper, 11,199 children underwent auscultation in Nanjing. Among them, 1,891 (16.8%) were grade Ⅰ, 152 (Ⅱ) and 152 (0.17%) were Ⅲ and Ⅲ. All grade I murmur followed up for one year, murmur disappeared 302 people, converted to level II murmur 45 people, the 45 people check thoracic and electrocardiogram, and one case did echocardiography, are normal. Finally, judged as innocuous murmur. Ⅰ grade systolic murmurs in more than a year or so for more than three times outpatient review, are doing electrocardiogram, chest X-ray, 9 cases of echocardiography, some children please heart, surgical consultation. Results 94 (61.8%) patients had normal thoracentesis and electrocardiogram (ECG), which could be judged as innocuous murmur. 43 (28.1%) had one abnormality and were difficult to judge.