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患者,男性,17岁。因乏力、腹胀、气短一年于1985年8月29日入院。查体:无紫绀,血压110/86mmHg,心率88次/分,心尖区Ⅱ级收缩期吹风样杂音,可听到第三心音;肝肋下4cm,脾未及,腹部有中等量腹水,双下肢有明显的凹陷性水肿,周围静脉压24cm血柱。心电图:窦性心律,不完全右束支阻滞,Ⅰ~°房室传导阻滞,低电压。超声心动图:右室流出道增宽,心尖可见液性暗区。X线胸片:心影呈烧瓶状,心
Patient, male, 17 years old. Due to fatigue, bloating, shortness of breath year on August 29, 1985 admission. Physical examination: no cyanosis, blood pressure 110 / 86mmHg, heart rate 88 beats / min, apical Ⅱ grade systolic hair-like murmur, you can hear the third heart sound; liver rib 4cm, spleen and abdominal a moderate amount of ascites, Lower limbs have obvious pitting edema, peripheral venous pressure 24cm blood. ECG: sinus rhythm, incomplete right bundle branch block, Ⅰ ~ ° atrioventricular block, low voltage. Echocardiography: right ventricular outflow tract widened, apex can be seen liquid dark area. X-ray: heart shadow was flask-shaped, heart