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患者女,22岁。活动后心慌气促10年,近2、3年来症状加重。检查:面唇呈樱红色,手足无紫绀,无杵性指(趾);胸廓对称,胸骨左缘第3肋间有3～4及粗糙收缩期杂音伴细颤,P_2增强。血Hb132g/L,RBC4.1×10~(12)/L。心电图示窦性心律,Ⅰ度房室传导阻滞,右室肥厚伴劳损。X线检查示肺动脉段隆起,主动脉结缩小。左右心室增大,以右室为主。血气分析:PH7.34,PO_28.9
Female patient, 22 years old. After the event of palpitation and shortness of breath 10 years, nearly 2, 3 years to increase the symptoms. Check: facial red lips, hands and feet without cyanosis, no pestle finger (toe); thoracic symmetry, sternal left margin of the 3rd intercostal 3 ~ 4 and rough systolic murmur with tremor, P_2 enhanced. Blood Hb132g / L, RBC4.1 × 10 ~ (12) / L. ECG shows sinus rhythm, Ⅰ degree atrioventricular block, right ventricular hypertrophy with strain. X-ray examination showed pulmonary artery segment uplift, aortic small. Right ventricular enlargement, mainly to the right ventricle. Blood gas analysis: PH7.34, PO_28.9