一年前的某次交班会上,值班医生说21床患者腹痛已经6天了,一直诊断不明,希望我去会诊。经治医生告诉我,该患者为女性,58岁,有风湿性心脏病史40年,每于情绪激动及劳累时即感胸憋闷、气短,休息后好转。近一个月来无明显原因屡感心悸、气短、胸憋闷,活动后加剧,一周来不能平卧,伴发烧、咳嗽、下肢肿。否认气管炎、高血压史,有吸烟及饮 A shift meeting a year ago, the doctor on duty said that 21 patients had abdominal pain for 6 days, has been diagnosed unknown, I hope I went to the consultation. The doctor told me that the patient was female, 58 years old, had a history of rheumatic heart disease for 40 years, each feeling excited and tired when the chest feel oppressed, shortness of breath, rest after the improvement. Nearly a month to no apparent reason repeatedly palpitations, shortness of breath, chest oppressed, exacerbated after the activity, one week can not be supine, with fever, cough, lower extremity swelling. Denied tracheitis, history of hypertension, smoking and drinking