患者女 ,3 5岁。因胸闷、气短、呼吸困难、周身浮肿 4月余就诊。查体 :一般状况尚可 ,口唇及四肢末梢轻度发绀 ,心尖搏动在胸骨左缘第 5肋间 ,心率 88次 /min ,律齐 ,心音稍减弱 ,三尖瓣区可闻及 2 / 6级收缩期杂音。颈静脉怒张 ,双下肢浮肿 ,肝大 ,右肋缘下 4cm ,质软 ,脾未触 Female patient, 35 years old. Due to chest tightness, shortness of breath, difficulty breathing, swelling more than 4 months of treatment. Check the body: the general condition is acceptable, lips and limbs mild cyanosis, apex beat in the left margin of the sternal fifth intercostal space, heart rate 88 beats / min, law Qi, heart sound slightly weakened, the tricuspid valve area can be heard 2/6 Systolic murmur. Jugular vein distention, lower extremity edema, hepatomegaly, right costal margin 4cm, soft, spleen not touch