风湿性心脏病是临床常见病,肺动静脉瘘则少见,风湿性心脏瓣膜病伴肺动静脉瘘则为罕见。现报告1例如下。患者,女性,27岁,农民。以劳累性心悸、气促7年,加剧2个月为主诉入院。患者7年前因“感冒”求治当地医院,经检查发现有“风心病”,此后,出现劳累性心悸、气促。一年多前第2胎 Rheumatic heart disease is a common clinical disease, pulmonary arteriovenous fistula is rare, rheumatic heart disease with pulmonary arteriovenous fistula is rare. One report is as follows. Patient, female, 27 years old, farmer. To exert a heart palpitations, shortness of breath for 7 years, exacerbating the main complaint 2 months admission. Seven years ago, the patient sought treatment for a local hospital because of “cold”. After examination, he found “rheumatic heart disease”. After that, he developed fatigue and palpitations and shortness of breath. The second child more than a year ago