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女性,31岁,工人,已婚。1977年11月8日入院。1966年来反复四肢大关节游走性疼痛,经常咽喉痛,有时心悸。1973年分娩后,心悸明显,有心跳停歇感,胸闷,心前区隐痛。半年来关节疼痛及上述症状加剧,劳累后气短,午后低热,盗汗,纳差,头昏,易乏。体检:体温37.8℃,脉搏92次/分,有结代脉,血压100/70毫米汞柱,面色苍黄,咽充血,扁桃腺Ⅰ°大,两颌
Female, 31 years old, worker, married. November 8, 1977 admission. Repeated limbs and joints in 1966 to travel sexual pain, often sore throat, palpitations sometimes. After delivery in 1973, palpitations obvious, a sense of heartbeat pause, chest tightness, precordial pain. Six months of joint pain and the above symptoms worse, fatigue after a shortness of breath, afternoon fever, night sweats, anorexia, dizziness, easy to lack. Physical examination: body temperature 37.8 ℃, pulse 92 beats / min, a knot with pulse, blood pressure 100/70 mm Hg, pale yellow, pharyngeal congestion, tonsil Ⅰ ° large, jaw