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患者女性,15岁,以“活动后胸闷气短伴全身性水肿20 d,加重3 d”入院。查体:体温36.9℃,呼吸24次/min,脉搏113次/min,血压109/77 mmHg;神志清,精神差,颜面部水肿,结膜、口唇苍白;双肺呼吸音粗,双下肺可闻及少量湿罗音;心前区可触及震颤,抬举样搏动明显,心脏相对浊音界扩大,心前区可闻及广泛收缩期及舒张期杂音;肝大,肝颈静脉回流征阳性,双下肢明显水肿。心脏彩超:右
Female patient, 15 years old, with “activity chest tightness and shortness of breath with systemic edema 20 d, increased 3 d ” admission. Examination: body temperature 36.9 ℃, breathing 24 times / min, pulse 113 beats / min, blood pressure 109/77 mmHg; spirit clear, poor spirit, facial edema, conjunctiva, pale lips; Smell and a small amount of wet rales; anterior palpable tremor, lift the kind of beating significantly, the heart relative to the voiced sound sector expanded, precordial area can be heard and a wide range of systolic and diastolic murmur; liver, hepatic jugular vein reflux positive syndrome, double Lower extremity obvious edema. Echocardiography: right