类风湿性关节炎临床常见,但并发心脏病却很少见。尤其是临床出现心脏扩大、心衰更为罕见。现将我们所遇到的类风湿性心脏病、心脏扩大、心衰1例报告如下。病历摘要女患,44岁。以心悸、气短、浮肿10天,加重4天,于1991年8月9日入院。该患7年前因乏力、指关节晨僵在中国医科大学被诊为类风湿性关节炎。经抗类风湿治疗效果不显著。关节疼痛反复发作,并逐渐加重。近4年来逐渐出现手足关节畸形,脊柱强直,丧失劳动能力。10天前无其它诱因出现心悸、气短、发热。近4天明显加重,呼吸困难,不能平卧,伴全身关节疼痛,咳少量白痰、尿少、纳差。既往无高血压病、风湿热 Rheumatoid arthritis is clinically common, but concurrent heart disease is rare. Especially in clinical appearance of heart enlargement, heart failure is more rare. Now we have encountered rheumatic heart disease, heart enlargement, heart failure in 1 case reported as follows. Female medical record, 44 years old. Palpitations, shortness of breath, edema 10 days, aggravating 4 days, admitted to hospital on August 9, 1991. 7 years ago due to fatigue, refers to the joint morning stiffness in China Medical University was diagnosed with rheumatoid arthritis. Anti-rheumatoid effect is not significant. Recurrent joint pain, and gradually increased. Over the past 4 years, hand, foot and face joint deformity, spinal rigidity and incapacity have gradually emerged. No other incentives 10 days ago palpitations, shortness of breath, fever. Obvious increase in the past 4 days, breathing difficulties, not supine, with joint pain, cough, a small amount of sputum, oliguria, anorexia. No previous hypertension, rheumatic fever