患者男,21岁,于10年前的一个冬天,感冒后发烧,关节肿痛,心悸、气短,当地医院诊断”风湿病”,对症治疗好转。以后逐渐加重,活动时心悸、气短明显,两下肢浮肿,经某县医院诊断为“风湿性心脏病二尖瓣狭窄合并闭锁不全”。此后每年反复住院治疗。近三个月心悸、气短加重,腹胀、尿少、下肢浮肿、咳嗽、咯浓痰而住院。 The patient, male, 21 years old, had a fever 10 years ago, a fever after the flu, a swollen joint, heart palpitations and shortness of breath. The local hospital diagnosed “rheumatism” and the symptomatic treatment improved. After gradual increase in activity palpitations, shortness of breath obvious, two lower extremities edema, a county hospital diagnosed as “rheumatic mitral stenosis complicated by atresia.” Repeated hospitalization thereafter every year. Nearly three months palpitations, shortness of breath, abdominal distension, oliguria, lower extremity edema, cough, slightly phlegm and hospitalization.