1 病史摘要 患儿,女性,4岁。生后7d健康检查时发现有心脏杂音,以后发育尚好,口唇无紫绀,但剧烈活动后心悸、气短。无消化系统疾病史。以先天性心脏病、室间隔缺损于1990年9月4日收住院治疗。查体:体温36.5℃,脉搏102次,血压12/8kPa,心前区稍隆起,左3～4肋间触及收缩期震颤,闻及Ⅳ/6级全收 1 history abstract children, women, 4 years old. 7d after birth Health examination found heart murmur, after development is still good, no cyanotic lips, but after severe activity palpitations, shortness of breath. No digestive system disease history. To congenital heart disease, ventricular septal defect in September 4, 1990 admitted to hospital for treatment. Physical examination: body temperature 36.5 ℃, pulse 102, blood pressure 12 / 8kPa, precordial slightly elevated, left 3 ~ 4 intercostal touch systolic tremor, smell and Ⅳ / 6 all received