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患者何某某,男,19岁,农民。于1982年10月5日因唇裂要求手术治疗而入院。家族中除其母左手大拇指畸形外,他人再无类似病史及其它畸形病史。体检,发育欠佳,呈痴呆貌,口齿不清,反应迟钝。体重38公斤,身高1.55米,胸廓对称,两肺呼吸音清,心尖搏动在右侧锁骨中线第四、五肋间,听诊心音亦于此处最响,心率60次/分,律齐,心尖部可闻及Ⅲ级收宿期吹风样杂音。于左侧第五肋间至肋缘上可叩及肝浊音区,触之不大。两手大拇指关节呈内收曲屈畸形伴多指(照片1),不能外展,内收功能受限。专科检查:右侧红唇至鼻底全层裂开,右侧鼻
He Moumou patients, male, 19 years old, farmer. On October 5, 1982 due to cleft lip surgery and admission. Family in addition to their mother's left thumb deformity, others no similar history and other malformations history. Physical examination, poor development, was dementia appearance, slurred speech, unresponsive. Weight 38 kg, height 1.55 meters, symmetrical thorax, lung breath sounds clear, apex beat in the right clavicle midline fourth, five intercostal, auscultation heart sounds here the loudest, heart rate 60 beats / min, law Qi, apex Ministries can be heard and class Ⅲ hair style hair-like murmur. In the left fifth intercostal to the costal margin can be knocked and liver dullness area, touch little. Thumb thumb joints with adduction flexor malformation associated with more fingers (Photo 1), can not be outreach, adduction limited. Specialist examination: the right lip to the bottom of the full-thickness cracking of the nose, the right nose