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患者女性,16岁。生后平卧时易哭闹、气喘,四个月时发现心脏杂音,临床诊断为法乐氏四联症。X线平片示肺血偏少,肺动脉段瘤样膨凸,左右肺动脉明显扩张,心脏及右心房室增大,心胸比率为0.58(图1)。肺动脉至右室测压:6.92/0.27～11.57/1.06～15.69/0.80kPa(52/2～87/8～118/6mmHg)。右室及肺动脉造影示肺动脉瓣环处轻度环形狭窄,未见肺动脉瓣负影,肺动脉造影时大量造影剂反流入右室,
Patient female, 16 years old. After supine lying easy to cry, asthma, four months found heart murmur, clinical diagnosis of tetralogy of Fallot. X-ray showed less lung blood, pulmonary artery tumor-like bulge, left and right pulmonary artery was significantly expanded, the heart and right atrium increased, cardiothoracic ratio was 0.58 (Figure 1). Pulmonary artery to right ventricular pressure: 6.92 / 0.27 ~ 11.57 / 1.06 ~ 15.69 / 0.80kPa (52 / 2-87 / 8 ~ 118 / 6mmHg). Right ventricular and pulmonary arteriography showed mild annular annular pulmonary valve stenosis, no pulmonary valve negative shadow, a large number of pulmonary arteriography contrast agent back into the right ventricle,