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患者男性,13岁。因紫绀伴活动后心悸、气促12年入院。患儿出生后6d因“感冒”在当地医院体检发现“先心病”。6个月出现紫绀,1 3/12岁会走路,但活动后心悸、气促,否认有蹲踞、昏厥病史。查体:血压13.3/9.3kPa,口唇颜面紫绀,右侧胸廓隆起,心尖搏动位于右锁骨中线第五肋间,心浊音界不扩大,心率90/min,律整、胸骨右缘第二肋间第二音单一且增
Patient male, 13 years old. Because of cyanosis with palpitations after activity, shortness of breath 12 years admitted to hospital. Children 6d after birth due to “cold” in the local hospital examination found that “congenital heart disease.” 6 months cyanosis, 13/12 years old will walk, but after the event of palpitations, shortness of breath, denied squatting, fainting history. Examination: blood pressure 13.3 / 9.3kPa, cyanotic lips, right thoracic uplift, apical beating in the right intercostal midline fifth intercostal space, heart dullness does not expand, heart rate 90 / min, the whole law, right sternal border between the second intercostal space The second tone is single and increased