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患者男性,15岁,因发现心脏杂音14年于1990年9月19日入院。查体:T 37℃、P 84次/分、R 20次/分、Bp 14.6/9.3kPa(110/70mmHg)。发育营养中等,唇无发绀,心界扩大,胸骨左缘3,4肋间可闻及Ⅳ/Ⅵ级粗糙收缩期杂音伴收缩期震颤。双肺呼吸音正常,腹软,肝脾未扪及,下肢不肿,周围血管征(一)。心电图:窦性心律,电轴不偏,心肌受损。X线正侧位胸片:肺血明显增多,肺动脉段凸出,食道压迹加深,心后食道三角消失。超声心动图:用岛津SDU-800型彩色多普勒血流显像诊断仪2.5MHz探头检查,左、右室内径均增大。M型显示左房内有带状回声将左房分为前后两部分。B型胸骨旁长轴左室切面及心尖四腔位均可见室间隔上段明显回声失落,并见一“纤维条
The patient, male, 15 years old, was admitted to hospital on September 19, 1990 because of heart murmur. Examination: T 37 ° C, P 84 beats / min, R 20 beats / min, Bp 14.6 / 9.3 kPa (110 / 70mmHg). Development of moderate nutrition, lip cyanosis, expand the heart, sternal left intercostal space can be heard 3,4 and IV / Ⅵ rough systolic murmur with systolic tremor. Respiratory sounds normal lungs, abdominal soft, liver and spleen not palpable, lower extremity is not swollen, peripheral vascular sign (a). ECG: sinus rhythm, electric axis is not partial, myocardial damage. X-ray is chest X-ray: pulmonary blood was significantly increased, prominent pulmonary artery segment, deepening of esophageal pressure, cardiac trigone triangle disappeared. Echocardiography: Shimadzu SDU-800 color Doppler flow imaging diagnostic 2.5MHz probe examination, left and right ventricular diameter were increased. M-type shows the left atrioventricular echo will be divided into two parts before and after the left atrium. B-type paraxial long axis left ventricular section and the apical four-chamber position were visible echo of the upper compartment echo was lost, and see a "fibrosis