病历摘要患者男性,40岁。1965年冬开始,晨起活动后心悸气短,伴下肢浮肿,在某医院诊断为“风湿性心脏病、二尖瓣狭窄伴关闭不全”,住院治疗后好转。1967年上述症状复发,曾先后住院,给予强心利尿剂对症治疗可缓解,1976年在某医院诊断心肌病。1979年4月因突然右侧半身瘫痪,诊断“脑栓塞”,住院4个月,患侧肢体逐渐恢复活动。1984年7月曾两次因劳累突感头晕、心悸、气短、周身大汗,出 Patient summary Male patient, 40 years old. The beginning of the winter of 1965, morning after the event palpitations shortness of breath, with lower extremity edema, diagnosed in a hospital as “rheumatic heart disease, mitral stenosis with incomplete closure,” improved after hospitalization. In 1967 the recurrence of these symptoms, has been hospitalized, giving cardiac diarrhea symptomatic treatment can be alleviated in 1976, a hospital diagnosis of cardiomyopathy. 1979 April due to a sudden paralysis of the right side of the hemiplegia, diagnosis of “cerebral embolism”, hospitalized for 4 months, ipsilateral limb gradually restored activity. July 1984 twice because of fatigue sudden dizziness, palpitations, shortness of breath, the whole body sweat, out