患者女,45岁。因劳累后心慌、气短5个月,渐进性右小腿静息痛10天于1994年2月21日入院。经检查诊断为:“风湿性心脏病,二尖瓣狭窄,三尖瓣关闭不全,左房血栓,心功能Ⅲ级;右股动脉栓塞,右小腿坏疽;脑血栓后左侧偏瘫。”经给予强心、利尿剂改善心功能;肌注罂粟碱,静脉滴注肝素进行扩血管、抗凝治疗;口服抗生素等准备后,于1994年3月2日在体外循环下行“二尖瓣替换、三尖瓣环缩、左房血栓清除 Female patient, 45 years old. Due to fatigue after flustering, shortness of breath 5 months, gradual right leg pain rest 10 days in February 21, 1994 admission. The diagnosis was diagnosed as: ”rheumatic heart disease, mitral stenosis, tricuspid regurgitation, left atrial thrombosis, cardiac function grade III; right femoral artery thrombosis, right calf gangrene; left hemiplegia after cerebral thrombosis.“ ” After given cardiac, diuretics to improve cardiac function; intramuscular injection of papaverine, intravenous heparin vasodilator, anticoagulant therapy; oral antibiotics and other preparations, on March 2, 1994 in vitro cardiopulmonary bypass "mitral valve Replacement, tricuspid annulus, left atrial thrombus removal