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患者女,39岁。活动后心悸、气短13年,加重4月主诉入院,曾被诊断为风湿性心脏病。查体:心尖搏动强,在左锁骨中线5、6肋间,可触及收缩期细震颤,心率98次/min,律不齐,第一心音强弱不等,二尖瓣听诊区可闻及4/6级收缩期吹风样杂音,主动脉瓣听诊区可闻及收缩期3/6级吹风样杂音。X线检
Female patient, 39 years old. After the event palpitations, shortness of breath for 13 years, increased the main complaint admitted in April, had been diagnosed with rheumatic heart disease. Examination: strong apex beat, in the left subclavian midline 5,6 intercostal space, palpable systolic fine tremor, heart rate 98 beats / min, irregularity, the first heart sound intensity ranging from the auscultation of the mitral valve can be heard And 4/6 systolic hair-like murmur, aortic valve auscultation can be heard and systolic 3/6 hair-style murmurs. X-ray examination