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患儿女,7岁。出生后2个月口唇发绀,查体发现心脏杂音,于1986年9月入院。平素易患感冒。肺炎,活动后心慌气短,无咯血、昏厥及蹲踞史。查体:发育营养中等,结膜充血,口唇、甲床中度紫绀。心律齐,胸骨左缘第Ⅱ肋间触及收缩期震颤,闻及3～4/6级粗糙收缩期杂音,P_2轻分裂,S_1亢进。杵状指(趾)++。心电图:电轴右偏,右房大,不完全右束支阻滞。X 线胸片:肺轻度充血,肺动脉段突出,右
Children with children, 7 years old. 2 months after birth lips cyanosis, physical examination found heart murmur, admitted in September 1986. Usually prone to cold. Pneumonia, palpitation shortness of breath after activity, no hemoptysis, syncope and squatting history. Physical examination: development of moderate nutrition, conjunctival hyperemia, lips, nail bed moderate cyanosis. Qi heart, sternum left edge of the second intercostal reach systolic tremor, smell and 3 ~ 4/6 rough systolic murmur, P 2 mitotic, S_1 hyperthyroidism. Clubbing toe ++. ECG: right axis deviation, right atrial, incomplete right bundle branch block. X-ray: mild pulmonary hyperemia, prominent pulmonary artery segment, right