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患儿,女,以“出生后全身紫绀、呼吸困难二天”入院。体检:精神甚差,呼吸极度困难,全身紫绀,两肺可闻干、湿罗音,心率170次/分,胸骨左缘2—4肋间及心前区可闻连续性杂音,并伴有震颤,肺动脉瓣听诊区未闻心音,扪及肝下缘在肋下8cm。胸片示:全心影增大。超声心动图示:右房、右室及左室扩大,室间隔回声完整,房间隔有回声中断,肺动脉瓣
Children, women, with “birth cyanosis, dyspnea two days” admission. Physical examination: very poor spirit, breathing extremely difficult, the whole body cyanosis, both lungs can be heard dry, wet rales, heart rate 170 beats / min, left sternal border 2-4 intercostal and precordial area can be heard continuous murmur, and accompanied by Tremor, pulmonary auscultation area did not hear heart sounds, palpable lower edge of the liver in the ribs 8cm. Chest X-ray showed: full heart shadow increased. Echocardiography: right atrium, right ventricle and left ventricular enlargement, complete echo of the septum, atrial septal echo disruption, pulmonary valve