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最近我们收治一例不典型动脉导管未闭(简称不典型 PDA)并室间隔缺损(VSD)。介绍如下:男性、13岁。学生,出生后啼哭时面部发紫。半岁时因心脏有杂音住本院诊断为“先心病”,患儿平素无蹲踞,反复感冒史,能参加一般体育活动,活动量大时,面部青紫。查体:BP100/70,发育正常,甲床轻度紫绀并早期杵状指趾。轻度鸡胸,肺部(一),心前区隆起,搏动弥漫,左Ⅱ助间轻度收缩期震颤,心界略向左扩大,左Ⅱ肋间闻及4/6级 SM,沿胸骨左缘向下传导,P_2亢进,周围血管征(一),余无异常。ECG.VCG:右心室肥大、劳损。PCG:左Ⅱ肋间高频收缩期递减型杂音,心尖部S_1分裂。心脏三位片:肺血增多,肺动脉段膨隆,左下弓轻度隆突。B 超:肺动脉显著扩张,肺动脉瓣下室间隔回声中断约1.4cm,
We recently admitted to a case of atypical ductus arteriosus (atypical PDA) and ventricular septal defect (VSD). Introduced as follows: Male, 13 years old. Students, face purple when crying after birth. Six months old due to heart murmur Hospital diagnosis of “congenital heart disease”, usually without squats, repeated episodes of cold, to participate in general sports activities, large amount of activity, facial bruising. Physical examination: BP100 / 70, normal development, nail bed mild cyanosis and early clubbing toe. Mild chicken breast, lung (a), precordial uplift, pulsatile diffuse, left mild systolic systolic tremor between the help, the heart slightly expanded to the left, left intercostal smell and 4/6 SM, along the left sternal Edge conduction, P_2 hyperthyroidism, peripheral vascular signs (a), I no exception. ECG.VCG: Right ventricular hypertrophy, strain. PCG: left Ⅱ intercostal high frequency systolic diminished murmur, apical S_1 division. Cardiac three films: increased lung blood, pulmonary artery segment bulging, left lower arch bow slightly. B super: significant pulmonary artery dilatation, pulmonary septal echo echo interval of about 1.4cm,