病历摘要患者男,39岁,住院号228075。1974年发现风湿性心脏病,二尖瓣狭窄,心功能代偿期,先后五次发生心房颤动,于1976年3月24日入院,同年4月3日施行二尖瓣交界分离术。入院时心电图呈窦性心律,电轴右偏,不完全性右束枝传导阻滞,左房及右室肥大。术后第五天开始服用地高辛0.25mg,每日2次,4天后改为0.25mg,每日1次。术后当天下午起发热,体温一直持续在38℃左右,汗多,进食少,并有 Patient male, 39 years old, hospital number 228075. 1974 found that rheumatic heart disease, mitral stenosis, compensatory heart function, has occurred five times in atrial fibrillation, hospitalized on March 24, 1976, the same year in April On the 3rd performed mitral valve junctional isolation. Electrocardiogram showed sinus rhythm at admission, right axis deviation, incomplete right bundle branch block, left atrial and right ventricular hypertrophy. The first five days after taking digoxin 0.25mg, 2 times a day, 4 days later changed to 0.25mg, 1 day. After the onset of fever on the afternoon of the same day, body temperature has continued at about 38 ℃, sweat, eat less, and