患者,女,51岁.患“风心病”29年.因劳累后心慌气短9年加重伴呼吸困难,下肢水肿10天以风心病心衰收住院.住院后查体:二尖瓣面容,颈静脉怒张,两肺散在有干湿罗音,心尖搏动弥散,触及舒张期震颤,心界扩大,主动脉区及二尖瓣区均闻双期杂音,S_1减弱,肝大右肋下7Cm、剑下9cm、压痛(十),双下肢指凹性水肿.超声心动、心功能等辅助 Patients, female, 51 years old suffering from “rheumatic heart disease” for 29 years because of exertion, palpitation, shortness of breath for 9 years aggravating with dyspnea, lower extremity edema, 10 days to rheumatic heart failure admitted to hospital after inpatient examination: mitral valve surface, neck Venous rash, both lungs scattered in the wet and dry rales, apex pulsation dispersion, touching the diastolic tremor, expanding the heart, aortic and mitral valve area are heard two-phase noise, S_1 weakened, Swords under 9cm, tenderness (ten), both lower extremity concave edema .Echocardiography, cardiac function and other auxiliary