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三房心为一相当罕见的先天性心脏畸形.随着心脏声像技术和心外科手术的发展,近年来其发现渐多,至今国内文献报道约20例,广西尚未见报道。现将我们发现的一例三房心伴不完全性肺静脉畸形引流病例报告如下:庞××,男,5岁半,住院号250324。因心悸乏力一年余,反复发热一个月,于1991年8月入院。患儿自幼体弱,易患感冒,于1991年7月在当地诊断“先心”。入院检查:体重为11.5kg,T38℃,P120次/分,R56次/分,BP13/8kPa。发育落后,营养不良。皮肤粘膜苍白。颈静脉显露。心前区隆起,心尖搏动弥漫,触及收缩期细震颤,心界向左下扩大,心尖部闻及3级收缩期杂音,肺动脉第二音亢进;两肺呼吸音粗糙,闻及少量干、湿罗音;腹平软,肝肋下
Three heart is a very rare congenital heart malformation.With the development of heart sound imaging and cardiac surgery in recent years, its discovery is still increasing, so far about 20 cases reported in domestic literature, Guangxi has not yet been reported. Now we found a case of three heart cases with incomplete pulmonary venous anomalies reported as follows: Pang × ×, male, 5 years and a half, hospital number 250324. Fever due to heart palpitations more than a year, repeated fever for one month, admitted in August 1991. Children from infancy, vulnerable to cold, in July 1991 in the local diagnosis “heart.” Admission examination: weight 11.5kg, T38 ℃, P120 beats / min, R56 beats / min, BP13 / 8kPa. Underdevelopment, malnutrition. Skin mucous membrane pale. Jugular vein revealed. Prefrontal bulge, apex beating diffuse, touching the systolic fine tremor, heart to expand to the left, the apical smell and systolic murmur, pulmonary second tone hyperthyroidism; rough breath sounds of both lungs, smell a small amount of dry, wet Luo Tone; abdominal soft, liver ribs