患者男性,19岁,因劳力性心悸气短半年,不能平卧2月入院。体检:端坐呼吸,口唇发绀,颈静脉怒张,心率120次/min,呼吸28次/min。心浊音界向左下扩大,心尖具3/6级收缩期吹风性杂音及舒张期隆隆样杂音,双肺呼吸音粗糙。肝肋下3cm,剑下6cm,具压痛,脾未及。双下肢凹陷性水肿。诊断为风湿性心脏病、二尖瓣狭窄及关闭不全,充血性心 Male patient, 19 years old, due to fatigue heart palpitations short period of six months, can not supine February admission. Physical examination: sitting breathing, cyanotic lips, jugular vein engorgement, heart rate 120 beats / min, breathing 28 beats / min. Diabolic heart bound to the left to expand, apex with 3/6 systolic hair blowing murmur and diastolic rumbling noise, lung breath sounds rough. Liver ribs 3cm, 6cm under the sword, with tenderness, spleen and time. Depression of both lower extremity edema. Diagnosis of rheumatic heart disease, mitral stenosis and insufficiency, congestive heart