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患者,女性,65岁。游走性关节酸痛35年,心悸、气促、下肢浮肿10年.近一周上述症状加重,伴咳嗽咳痰.患者35年前因肘膝关节疼痛,红肿伴低热.曾在某医院诊治,当时诊断“风湿性关节炎”,应用抗风湿治疗.10年前因出现心悸、气促、轻度下肢浮肿。经该院再次检查,诊断为“风湿性心脏病二尖瓣狭窄,应用抗风湿药和地高辛治疗,并多次住院治疗。出院后,继用地高辛0.25毫克/日维持,从未中断.近一周因恶心、呕吐、心慌、不能平卧,伴两下肢轻度浮肿来本院急诊,拟诊“上感、风湿性
Patient, female, 65 years old. Swollen joints pain for 35 years, palpitations, shortness of breath, lower extremity edema for 10 years. The past week, the above symptoms worse, with cough and sputum .35 years ago, patients with elbow knee pain, swelling and fever. Diagnosis of “rheumatoid arthritis”, the application of antirheumatic treatment 10 years ago due to heart palpitations, shortness of breath, mild lower extremity edema. After the hospital re-examination, diagnosed as “rheumatic mitral stenosis, anti-rheumatic drugs and digoxin treatment, and multiple hospitalizations .After discharge, followed by digoxin 0.25 mg / day to maintain, has never been interrupted Nearly a week because of nausea, vomiting, palpitation, can not lie down, with two lower extremities mild edema to our hospital emergency, to be diagnosed with ”flu, rheumatic