病史摘要患者女,19岁,工人,未婚。住院号154308。1981年8月1日入院。患者于2个月前一次洗澡时突然昏厥,约5分钟,当时神志不清,但无口吐白沫、抽搐及大小便失禁,自此后经常头晕、胸闷、心悸,活动时更感气促,近1月来上述症状加剧。发病后曾到数个医院就诊,拟诊为”风湿性心脏病”、“先心室间隔缺损”及“心肌病”等。虽给予相应处理,但均无效。患者既往素健,否认有关节炎以及经常咽痛等病史。个人史、家族史无特殊。入院体检:体温,37.3℃脉搏72次/分,呼吸21 Medical history Abstract Female patient, 19 years old, worker, unmarried. Admission number 154308. Admitted to hospital on August 1, 1981. The patient suddenly fainted during a bathing session two months earlier for about 5 minutes. At that time, she was unconscious but had no vomiting, convulsions and incontinence. Since then, her dizziness, chest distress, palpitations, The above symptoms have intensified in recent January. After the onset of several hospitals have been treated, to be diagnosed as “rheumatic heart disease”, “first ventricular septal defect” and “cardiomyopathy” and so on. Although given the appropriate treatment, but are invalid. Patients with past health, denied the history of arthritis and frequent sore throat. Personal history, family history no special. Admission examination: body temperature, 37.3 ℃ pulse 72 beats / min, breathing 21