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患者女,30岁。因劳累性心慌、气短、双下肢浮肿14个月,加重9天于1995年1月25日入院。既往无慢性咳嗽,咳痰史,无关节疼痛及风湿病史。发病前可做一般劳动。曾做过2次人工流产及1次剖腹产手术。体格检查:血压15/10kpa,发育不良,身材矮小,中度紫绀。颈静脉充盈,肝颈静脉返流征(+)。胸廓畸形,胸骨右偏,左侧胸廓较右侧膨隆,左肺底可闻湿性罗音。心界增大,心率86次/分,偶闻早搏,胸骨左缘第4肋间可闻Ⅲ/6级收缩期杂音,剑下心脏搏动明显。肝剑下5cm,质软,光滑,触痛明显。脊柱侧弯畸形。双下肢可凹性浮肿,胸部X线:胸廓两侧不对称,右侧肋骨互相靠拢,肋间隙变窄,
Female patient, 30 years old. Due to fatigue, palpitation, shortness of breath, edema of both lower extremities 14 months, 9 days aggravated on January 25, 1995 admission. No previous chronic cough, sputum history, no joint pain and history of rheumatism. Before the onset of general labor can be done. Had done 2 abortion and 1 caesarean section. Physical examination: blood pressure 15 / 10kpa, dysplasia, short stature, moderate cyanosis. Jugular vein filling, hepatic jugular vein reflux sign (+). Thoracic deformity, right breast sternal, left thoracic bulging than the right, left lung can smell wet rales. Increased heart rate, heart rate 86 beats / min, heard premature beat, sternal left intercostal intercostal can be heard Ⅲ / 6 systolic murmur, the sword under the heart beat significantly. Liver Sword 5cm, soft, smooth, tenderness significantly. Scoliosis deformity. Both lower extremity concave edema, chest X-ray: thoracic asymmetry on both sides of the right ribs close to each other, the intercostal space narrowing,