有一天,小王接诊一位18岁男性病人,因参军体检时发现在胸骨左缘第二肋间有较粗糙的收缩中期喷射性杂音,心电图检查有不完全性右束支传导阻滞,当地医院拟诊为先天性心脏病房间隔缺损,未除外肺动脉辦狭窄。患者以往并无自觉症状,自从听到医生讲心脏有杂音,可能患有先天性心脏病之后,思想 One day, Xiao Wang admissions an 18-year-old male patient, because of the military medical examination was found in the second intercostal space on the left margin of the sternum with a more contracting medium-term jet murmur, ECG with incomplete right bundle branch block, The local hospital to be diagnosed as congenital heart disease atrial septal defect, pulmonary stenosis without exception. In the past, patients had no symptoms. Since they heard doctors say heart murmur may have congenital heart disease, thoughts