病史摘要郭××,女,30岁,住院号105213。因全身骨、关节痛,心慌气急年余,白细胞增高3个月,于1977年3月25日住入我院。患者于1976年5月因“感冒”,全身骨及关节游走性疼痛伴心慌气急,7月份眼险及下肢浮肿,当地医院诊断为“肾炎”、“肝硬化”,应用中药治疗。8月起症状加重,胸透发现两肺淤血,左心房及左右心室增大,心尖区可闻及舒张期和收缩期杂音,在当地医院拟诊为“风湿性心脏病”,应用详地黄、激素、利尿剂及抗菌素等治疗,4个月后“病情好转”。不久,又因“感冒”再发,1977年1月皮肤出现紫癜,查白细胞为46000/立方毫米、中性39％、淋巴61％、血小板10.5万/立方毫米,出凝血时间 Summary of medical history Guo × ×, female, 30 years old, hospital number 105213. Due to systemic bone, joint pain, panic more than years, white blood cells increased 3 months, March 25, 1977 admitted to our hospital. Patients in May 1976 due to “cold”, systemic bone and joint migration pain with palpitation urgency, July eye and lower extremity edema, the local hospital diagnosed as “nephritis”, “cirrhosis”, the application of traditional Chinese medicine. August symptoms increased, chest X-ray found two lung congestion, left atrium and left ventricular enlargement, apex area can be heard and diastolic and systolic murmur, in the local hospital to be diagnosed as “rheumatic heart disease”, the application of detailed yellow, Hormones, diuretics and antibiotics and other treatment, 4 months after “better condition.” Soon, and because of the recurrence of “cold”, January 1977 skin purpura, white blood cell count was 46,000 / cubic mm, 39% neutral, lymphatic 61%, platelets 105,000 / cubic millimeter, the clotting time