病历摘要 患者男,54岁。因阵发性心慌16年,心前区疼痛1年于1993年3月5日入院。13岁时曾患“风湿性关节炎”,正规抗风湿治疗1年,关节疼未再复发,但以后发现“风心病”。 查体:体温36.7℃,脉搏90次/min,血压19/12kPa。一般情况尚可,颈静脉无怒张,双肺无干湿性罗音。心界左下扩大,于Ⅵ肋间左锁骨中线外0.5cm,心率90次/min,律齐,A_2>P_2, Patient summary Male, 54 years old. Due to paroxysmal palpitation in 16 years, precordial pain for 1 year in March 5, 1993 admission. At 13 years of age had “rheumatoid arthritis”, regular anti-rheumatic therapy for 1 year, no recurrence of joint pain, but later found “rheumatic heart disease.” Physical examination: body temperature 36.7 ℃, pulse 90 beats / min, blood pressure 19 / 12kPa. The general situation is acceptable, no jugular vein engorgement, lung wet and dry rales. Heart left lower expansion, in the intercostal left subclavian midline Ⅵ 0.5cm, heart rate 90 beats / min, law Qi, A_2> P_2,