患者女性,53岁,农民,住院号1245。因反复心悸胸闷、气促8年,发热咳嗽9天于1984年8月14日入院。8年来患者常感心悸、胸闷、气促,当地医院诊断为“风湿性心脏病”,给予地高辛、利尿剂等药物治疗。入院前9天受凉后出现畏寒发热、咳嗽、气促,不能平卧,经抗感染治疗无效而转入我院。体检:体温35℃,呼吸24次/分,脉搏80次/分,血压80/60mmHg。慢性病容,消瘦。口唇微绀,颈静脉无怒 Female patient, 53 years old, farmer, hospital number 1245. Due to repeated palpitations chest tightness, shortness of breath 8 years, 9 days cough fever in 1984 August 14 admission. 8 years, patients often feel palpitations, chest tightness, shortness of breath, the local hospital diagnosed as “rheumatic heart disease”, given digoxin, diuretics and other drug treatment. 9 days before admission, chills and fever appeared after the cold, cough, shortness of breath, can not be supine, the anti-infective treatment is invalid and transferred to our hospital. Physical examination: body temperature 35 ℃, breathing 24 beats / min, pulse 80 beats / min, blood pressure 80 / 60mmHg. Chronic disease, weight loss. Micro-cyanotic lips, neck anger without anger