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主、肺动脉间隔缺损为一种较少见的先天性畸形,合并肺动脉瓣上狭窄更属少见。本院确诊1例,现报告如下。病例摘要患儿,男,14岁。因感心里难受、发慌3～4天,当地医院就诊,拟诊风湿性心脏病,转我院确诊。患儿自幼走路、活动,均落后于同龄儿童,但无任何自主不适。系第9胎第9产(当时母40岁,父49岁)。父母非近亲结婚。否认特殊家族史。体检:体温36.8℃,身高1.40m,体重29kg,血压110/70mmHg(右上肢)。神清无明显气促、紫绀。胸廓两侧对称、心尖搏动弥散,心界向两侧扩大、无震颤、心率110次/分,心音强弱快慢不一、心尖区及胸
The main, pulmonary septal defect is a rare congenital malformations, pulmonary stenosis is even more rare. 1 hospital confirmed cases, are as follows. Case summary Children, male, 14 years old. Feelings of uncomfortable, panic 3 to 4 days, the local hospital for treatment, rheumatic heart disease to be diagnosed, transferred to our hospital for diagnosis. Children were walking, activities, lagging behind their children of the same age, but without any discomfort. Department of the 9th birth 9th (when the mother 40 years old, father 49 years old). Parents marry non-relatives. Denied special family history. Physical examination: body temperature 36.8 ℃, height 1.40m, weight 29kg, blood pressure 110 / 70mmHg (right upper limb). God clear no shortness of breath, cyanosis. Symmetrical on both sides of the thorax, apex pulsation dispersion, the heart bound to both sides of the expansion, no tremor, heart rate 110 beats / min, heart sound speed varies, apical area and chest