病例:患者男性,38岁。于1984年11月初感到双肩及肘关节酸痛伴发热,去某医院就诊,拟诊为“风湿热”,予口服“炎痛喜康”和肌注“青霉素、链霉素”治疗,疗效不显。自1985年1月以来,上述症状加重,不能坚持上班,同时食欲减退,头昏、乏力及心慌。1985年2月6日来我院诊治。查体:体温38.5℃,脉搏100次/分,血压 Case: Male patient, 38 years old. At the beginning of November 1984, I felt pain in my shoulders and elbow joint with fever and went to a hospital for treatment. I was diagnosed as “rheumatic fever” and treated orally with “Yikongxikang” and intramuscular injection of “penicillin and streptomycin” without significant curative effect . Since January 1985, the above symptoms have worsened and can not be insisted on at work with loss of appetite, dizziness, weakness and palpitation. February 6, 1985 came to our hospital for treatment. Physical examination: body temperature 38.5 ℃, pulse 100 beats / min, blood pressure