女,47岁。8岁起心悸、气促,活动时加重,间歇咳嗽,咯血痰,近2月加重。一直不能从事体力劳动。先后在各级医院住院数十次,诊断为“风心病”、“先心病室缺”。体查:慢性病容,面颊紫红,唇、指轻度紫绀;颈静脉怒张;胸廓对称,心界向左扩大,心前区未触及震颤,胸骨左缘第3、4肋间闻及Ⅲ级全收缩期杂音及Ⅰ级舒张期杂音。X线示心 Female, 47 years old. 8 years old palpitations, shortness of breath, increased activity, intermittent cough, hemoptysis sputum, increased in recent February. Has been unable to engage in manual labor. Has hospitalized at all levels dozens of times, diagnosed as “rheumatic heart disease”, “congenital absence of the ward.” Physical examination: Chronic disease, cheeks purple, lips, refers to mild cyanosis; jugular vein engorgement; thorax symmetry, the heart bound to expand to the left, heart area did not touch the tremor, Systolic murmur and grade Ⅰ diastolic murmur. X-ray showed heart