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A(住院医师):患者,男性,54岁,退休工人。因心慌气喘加重一月入院。患者于1956年确诊为风心病二尖瓣狭窄,能正常劳动。1972年始活动后感气短,改从轻体力劳动。1975年10月份气喘加重,伴下肢水肿,首次住某医院,经近3个月治疗好转出院。此后每“感冒”即气喘加重,每年均住院1～2次。1978年发现心房颤动,此后经常不规则服地高辛,有时加利尿剂维持上
A (Resident): Patient, male, 54 years old, retired worker. Due to palpitation increased hospitalization in January. Patients diagnosed with rheumatic mitral stenosis in 1956, can work normally. After the beginning of activity in 1972, a sense of shortness, change from light manual labor. In October 1975 aggravated asthma, with lower extremity edema, the first live in a hospital, after nearly 3 months of treatment improved and discharged. Since then, each “cold” that asthma exacerbation, hospitalization every year 1 or 2 times. Atrial fibrillation was found in 1978 and often irregularly administered digoxin, sometimes with diuretics