副教授:本病例以心慌、头晕、胸骨左缘第2～3肋间粗糙收缩期杂音为主要表现,但长期诊断不明,值得分析讨论。先请报告病历。 实习医师:患者女,47岁,10余年前偶感活动时心慌、气短,近半年来上述症状频繁发作,有时伴头晕、眼前发黑、出汗、乏力,偶有胸部隐痛。曾在外院多次就诊,先后诊为房间隔缺损、空间隔缺损、动脉导管未闭。为进一步确诊,于1993年3 Associate Professor: This case with palpitation, dizziness, left sternal 2 ~ 3 intercostal systolic rough systolic murmur as the main performance, but the long-term diagnosis is unknown, it is worth analysis and discussion. Please report the medical record first. Internship: Female patient, 47 years old, more than 10 years ago, occasional activities palpitation, shortness of breath, frequent symptoms of the past six months, sometimes accompanied by dizziness, black eyes, sweating, fatigue, occasional chest pain. Have repeatedly seen in the hospital, has diagnosed as atrial septal defect, septal defect, patent ductus arteriosus. For further diagnosis, in 1993 3