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患儿男,7岁。于生后不久,发现哭闹时口唇紫绀,吸奶费力,夜间睡眠时呼吸困难。1岁半会走路。活动时气促,紫绀加重。无晕厥史,常有呼吸道感染。查体:发育、营养一般,血压80/50。口唇轻度紫绀,无杆状指。胸骨左缘第2～3肋间可闻及3/6级收缩期杂音,无震颤,p_2不亢。双肺(-)。胸片示双肺充血,右房右室大,肺动肺段突出,主动脉结小。心电图示电轴右偏,不完全性右束支传导阻滞、右室大及劳累。超声心动图显示右房、右室大,房间隔连续中断,左房内有一隔膜。入院诊断:房间隔缺损,三房心?
Children male, 7 years old. Shortly after she was born, her lips were cyanotic when she was crying, she was hardworking, and had difficulty breathing during nighttime sleep. 1 year and a half will walk. Shortness of breath during activities, cyanosis increased. No history of syncope, often respiratory tract infection. Physical examination: development, nutrition in general, blood pressure 80/50. Mild cyanosis lips, no rod-like means. Sternal left margin 2 ~ 3 intercostal can be heard and 3/6 systolic murmur, no tremor, p_2 not Kang. Double lung (-). Chest radiograph showed pulmonary congestion, right atrium right ventricular large, prominent pulmonary pulmonary segment, aortic node small. ECG right axis deviation, incomplete right bundle branch block, right ventricular large and tired. Echocardiography shows right atrium, right ventricle, atrial septal interrupted, there is a diaphragm in the left atrium. Admission diagnosis: atrial septal defect, three heart room?