病历摘要患者女性,38岁,天津人,于1959年7月29日因心跳气短,恶心,下肢浮肿20日,10天来加重而入院。 10年前患者于体格检查时,发現有“心脏病”,当时无任何症状,1951年第三次妊娠期間(4—5个月时),初次发生心悸,气短,下午脚肿。但症状不严重,可以平臥,当时检查血压不高,尿无异常,乃在家生产,产后症状消失,1952年第四次妊娠,仍无明显症状。患者入院前2个月,因工作劳累,发生心跳气急,发热,但无浮肿,乃在本市某医院住院治疗,診断为“风湿性心脏病”,心电图显示心房扑动,服洋地黄后症状好轉。三星期后出院,仍继续服洋地黄一星期后停用。20天来又发生心跳气短,下肢浮肿,不能平臥,同时併有咳嗽,咯血色痰,恶心,食慾不振,伹不感发烧,亦无黄疸,乃来門診就診,给洋地 Patient Summary Female patient, 38 years old, Tianjin, on July 29, 1959 due to shortness of breath, nausea, lower extremity edema on the 20th, 10 days to increase and admission. 10 years ago in physical examination, patients found that “heart disease”, then no symptoms, the third pregnancy in 1951 (4-5 months), the first palpitations, shortness of breath, afternoon swollen feet. But the symptoms are not serious, you can lie down, then check the blood pressure is not high, no abnormal urine, is at home production, postpartum symptoms disappear, the fourth pregnancy in 1952, there are no obvious symptoms. Patients 2 months prior to admission, due to work fatigue, rapid heartbeat, fever, but no edema, but in a hospital in the city treatment, diagnosed as “rheumatic heart disease”, electrocardiogram atrial flutter, digitalis symptoms Better. Discharged three weeks later, still continue to take digitalis disabled after a week. 20 days to another shortness of breath, lower extremity edema, can not lie down, and cough, hemoptysis, phlegm, nausea, loss of appetite, no fever, no jaundice, but outpatient treatment, to the ocean