病历摘要患者王×,男性,26岁,已婚,铁路工人。因发热16天,剧烈腰痛1天,于1974年8月19日入院。现病史:患者于8月3日开始畏寒、发热,体温38～39℃左右,伴有食欲不振、全身不适、心悸、盗汗、进行性消瘦等。病后经外地卫生所诊为“风湿性心脏病”。经用青霉素、水杨酸钠(用药量不详)等治疗无效。当时实 Patient Summary Patient Wang ×, male, 26 years old, married, railway worker. 16 days due to fever, severe back pain 1 day, admitted to hospital on August 19, 1974. Current medical history: The patient began chills on August 3, fever, body temperature 38 ~ 39 ℃, accompanied by loss of appetite, malaise, heart palpitations, night sweats, progressive weight loss and so on. After the illness by the field health clinics as “rheumatic heart disease.” With penicillin, sodium salicylate (dosage unknown) and other treatment is invalid. It was real