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患儿,女,5岁,因支气管肺炎入院。第一胎第一产,生后易感冒,体力差。父母非近亲婚配。双亲及一妹均健康。家族中无遗传疾病史。体检:体重18.5公斤,身长96厘米。发育一般,营养欠佳,无紫绀。左胸前隆起,心尖搏动弥散,心界轻度向左侧扩大。于胸骨左缘第3～4肋间可闻及Ⅳ级粗糙的全收缩期杂音,心律齐,心率100次/分。双肺可闻及散在中小水泡音。肝大肋下3 cm,剑下4 cm,边缘钝,质中硬。脾未触及。左手拇指纤细形似小手指(图1),无对掌
Children, women, 5 years old, admitted to hospital for bronchopneumonia. The first birth of the first child, after birth, easy to catch cold, poor physical. Parents non-relatives marriage. Parents and a girl are healthy. No history of genetic disease in the family. Physical examination: weight 18.5 kg, 96 cm in length. General development, poor nutrition, no cyanosis. Left chest bulge, apex pulsation dispersion, mild heart to the left to expand. On the left side of the sternum, the 3rd ~ 4th intercostal can be heard and Ⅳ rough systolic murmur, Qi Qi, heart rate 100 beats / min. Lungs can be heard scattered in small and medium blisters sound. Great ribs 3 cm under the sword, sword 4 cm, blunt edge, medium hard. Spleen not touched. Left thumb slender shaped like a small finger (Figure 1), no palm