副主任医师:请住院医师报告病历. 住院医师:患者,女,37岁,因心慌、气短伴浮肿8个月加重半月而入院.8月前开始出现活动后心慌、气短、乏力,伴咳嗽吐少许白痰,之后,出现全身浮肿,食欲不振,尿量减少,症状逐渐加重,并出现痰中带血丝,无晕厥、发热及胸痛.曾多次在当地医院就诊,诊为“先心病、房缺、右心衰”“风心病、二尖瓣狭窄”等.给予强心、利尿、扩血管治疗,稍有缓解。近半月 Resident physician: Resident physician report medical records Resident: Female, 37 years old, due to palpitation, shortness of breath with edema 8 months to increase half a month and admitted to hospital .8 months ago began to appear after the event of palpitation, shortness of breath, fatigue, cough spit A little white sputum, then, the body edema, loss of appetite, decreased urine output, the symptoms gradually aggravated, and there is bloody sputum, no syncope, fever and chest pain .There have been many times in the local hospital for treatment, diagnosed as “congenital heart disease, Lack of right heart failure, ”“ rheumatic heart disease, mitral stenosis ”, etc .. Given cardiac, diuretic, vasodilator treatment, a slight relief. Nearly half a month