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患者,女性,43岁。发热、畏寒、心悸气促、下肢浮肿5个月,但无午后潮热及盗汗,无咳嗽咯血,尚能平卧,经门诊治疗后症状有所缓解。近月来症状加重,心悸、气促发作频,且伴头晕,疲倦,下肢乏力、浮肿,胃纳欠佳,尿少色黄,经门诊治疗未改善,预诊为“先天性心脏病,室间隔缺损并发亚急性细菌性心内膜炎”收入院治疗。既往史:1963年产前检查渭患“先天性心脏病室间隔缺损”,1969年因畏寒、持续高热住本院内科治疗,当时诊断为“先天性心脏病室间隔缺损并发亚急性细菌性心内膜炎”
Patient, female, 43 years old. Fever, chills, heart palpitations, extremities edema 5 months, but no afternoon hot flashes and night sweats, no cough and hemoptysis, still able to lie down, the symptoms relieved after outpatient treatment. In recent months, the symptoms increased, heart palpitations, shortness of breath attack frequency, and with dizziness, fatigue, lower extremity fatigue, edema, poor appetite, urine less yellow, the outpatient treatment did not improve, pre-diagnosed as “congenital heart disease, Septal defect complicated by subacute bacterial endocarditis ”income hospital treatment. Past history: 1963 prenatal care I suffer from “congenital heart disease ventricular septal defect”, 1969 due to chills, continued high fever in our hospital medical treatment was diagnosed as “congenital heart disease ventricular septal defect complicated by subacute bacterial heart Membranitis ”