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患者男性,35岁。因心悸、双膝关节肿痛不规则发热10天。于1982年2月10日入院。患者在入院前10天患急性扁桃体炎,经治疗好转。数日后又发热,体温波动于37.4～38.4℃,伴周身乏力,厌食,心悸,双膝关节肿痛和轻度功能障碍。病程中无环形红斑与皮下小结。既往无风湿病史。入院体检:神清,软弱,体温37.6℃,呼吸20次/分。无紫绀,颈静脉无怒张。叩诊心浊音界不扩大,律齐,心率112次/分,心尖部第一心音减弱,伴有Ⅱ～Ⅲ级全收缩期吹风样杂音,向左腋中线传导。肝脾未触及。双膝关节肿痛。实验室检查:血红蛋白7g,红细胞300万,白细胞总数13,000,中性80％,肝功能正常。2次血钾分别为3.8、3.0mEq/L,血钠132、
Male patient, 35 years old. Due to heart palpitations, irregular knee joint swelling fever 10 days. Admitted to hospital on February 10, 1982. Patients suffering from acute tonsillitis 10 days before admission, the treatment improved. A few days later fever, body temperature fluctuations in the 37.4 ~ 38.4 ℃, with peripheral fatigue, anorexia, palpitations, double knee joint pain and mild dysfunction. No ring erythema and subcutaneous nodules in the course of disease. No history of rheumatoid. Admission medical examination: God clear, weak, body temperature 37.6 ℃, breathing 20 beats / min. No cyanosis, no jugular vein engorgement. Percussion heart dullness sector does not expand, law Qi, heart rate 112 beats / min, the first heart apical weakens, accompanied by Ⅱ ~ Ⅲ level systolic hair-like murmurs, the left axillary line conduction. Liver and spleen not touched. Double knee swelling and pain. Laboratory tests: hemoglobin 7g, 3 million red blood cells, leukocytes 13,000, 80% neutral, normal liver function. 2 times potassium were 3.8,3.0 mEq / L, serum sodium 132,