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患者,男性,39岁。因心悸气促16年,腹部包块12年伴阵发性腹痛半年。于1992年3月10日入院。体检:T36.5℃,P80次。R22次,双上肢血压:18.0/9.3 kPa,慢性重病容,神清,瘦长体形,身高175cm.体重52kg,四肢细长,展臂指距178cm,蜘蛛样指(趾),双足外翻畸形。头颅长,上腭弓高深,颈动脉搏动明显。心尖搏动弥散,呈抬举性。心界向左下扩大。心律齐,A_2>P_2,二尖瓣和主动脉瓣听诊区可闻及Ⅱ/6级吹风样收缩期和舒张期杂音,不传导。锁骨下可
Patient, male, 39 years old. Because of heart palpitations gas 16 years, abdominal mass 12 years with paroxysmal abdominal pain for six months. March 10, 1992 admission. Physical examination: T36.5 ℃, P80 times. R22 times, upper extremity blood pressure: 18.0 / 9.3 kPa, chronic severe disease, Shen Qing, elongated physique, height 175cm. Body weight 52kg, limbs slender, the forearm arm 178cm, spider fingers (toes), feet varus deformity . Long head, deep palatal arch, significant carotid pulsation. Apex beat dispersion, was lifting. Heart left to expand. Heart rhythm Qi, A_2> P_2, mitral and aortic valve auscultation area can be heard and Ⅱ / 6 hair style systolic and diastolic murmur, no conduction. Clavicle can be