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患儿女性,9岁。于生后十天因“感冒”发现有心脏杂音,诊断为先天性心脏病。平素体力差,易感冒,稍活动后即出现心悸气短,但无发绀。查体:血压正常,于胸骨左缘第三肋间可融及收缩期震颤,第2～4肋间能听到两期性杂音,但不连续。肺动脉瓣第二音亢进。化验血象正常。心电图示右心室肥厚和完全性右束枝传导阻滞。临床初诊先天性心脏病,动脉导管未闭。X线平片:两侧肺血增多,心脏增大,呈“8”字形,左侧位见上中纵隔偏前有梭形致密阴影与心脏阴影相连。心导管检查:见导管前端经下腔
Children with children, 9 years old. Ten days after birth due to “cold” found a heart murmur, diagnosed as congenital heart disease. Usually poor physical, easy to catch a cold, a little heart palpitations shortness of breath, but no cyanosis. Physical examination: normal blood pressure, the third intercostal space in the left sternal border can melt systolic tremor, 2 ~ 4 intercostal can hear two phases of murmur, but not continuous. Pulmonary valve sound of the second tone hyperthyroidism. Blood test is normal. ECG shows right ventricular hypertrophy and complete right bundle branch block. Clinical diagnosis of congenital heart disease, patent ductus arteriosus. X-ray: increased lung blood on both sides, the heart increased, was “8” shape, the left side of the mediastinum in front of a shuttle-shaped dense shadow and heart shadow connected. Cardiac catheterization: See the front of the catheter through the lower cavity