患者 ,女性 ,2 8岁 ,已婚 ,农民。主因间断性心慌气短 4年 ,加重伴发热 2 0ｄ入院。入院后查体 :Ｔ38℃ ,Ｐ12 0 ,Ｂｐ12 0 /80ｍｍＨｇ。贫血面容 ,面部可见蝶性红斑 ,全身皮肤粘膜无黄染 ,口腔粘膜溃疡、不疼。双肺检查无异常。心界向左扩大 ,心率 12 0次 /ｍｉｎ ,律齐 ,心 Patient, female, 2 8 years old, married, farmer. Mainly due to intermittent flustered shortness of breath for 4 years, increased with fever 20d admission. After admission, physical examination: T38 ℃, P12 0, Bp12 0 / 80mmHg. Anemia face, facial erythema can be seen, the body skin and mucous membrane without yellow dye, oral mucosal ulcers, no pain. No abnormal lung examination. Heart left to expand, heart rate 120 times / min, law Qi, heart