论文部分内容阅读
患者男,8岁。患者出生后发现心脏杂音,生长发育及活动能力较同龄人差。入院体检:杵状指趾,心前区无隆起及凹陷,心率101次/min,心律齐,胸骨右缘可闻及4/6级杂音,传导广泛;双肺语颤和语音传导正常,无胸膜摩擦感。超声所见:肝脏大部分位于右上腹,脾脏未探及,心脏主要位于右侧胸腔,房间隔仅见残迹,双侧右心耳形态,未探及明确室间隔,心室呈单一心室,未定型,室壁运动尚可,主动脉位于左前,肺动脉位于右后,均起自流出腔,肺动脉瓣下圆锥肌致瓣下狭窄;单
Patient male, 8 years old. After the birth of patients found heart murmur, growth and activity than their peers poor. Admission examination: clubbed toe, anterior precinct without uplift and depression, heart rate 101 beats / min, rhythm Qi, the sternum can be heard on the right edge and 4/6 level murmur, extensive conduction; both pulmonary fibrillation and voice conduction is normal, no Pleural friction. Ultrasound findings: most of the liver is located in the right upper quadrant, the spleen is not detected and the heart is located in the right chest, atrial septal only remnants of bilateral right atrial appendage morphology, unexplored and clear ventricular septal, ventricular was a single ventricle, not stereotyped, room Wall motion is acceptable, the aorta is located in the left anterior, pulmonary arteries in the right posterior, all from the outflow cavity, pulmonary valve under the valve caused by the taper muscle stenosis; single