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作者将1978～1980年患慢性风湿性心脏瓣膜病住院治疗的405例患者,对其中117例临床确诊及提示风湿活动者进行分析,提出四条慢性风湿性心脏瓣膜病伴风湿活动的诊断条件:1.风心病者伴Jones标准中一项主要或次要表现者;2.风心病者在短期(1～2年)内病情迅速恶化,瓣膜病变进行性加重,心脏进行性增大;3.风心病者伴发难治性心力衰竭,对洋地黄易发生过量反应者;4.粘蛋白增高是风湿活动较敏感的指标。血沉快或抗“O”高,或两者同时高,如能排除其它原因,也应考虑风湿活动。
Abstract：One hundred and seventeen cases of chronic rheumatic valvular heart disease (RHD) associated with rheumatic fever were analysed, including clinical diagnosis or suggested diagnosis of rheumatic fever. They were from 405 cases of chronic rheumatic valvular heart disease admitted to our hospital during 1978-1980. The following four diagnostic reference criteria are, 1) Patients with RHD possessing one main condition or one assessary condition of Jones criterion 2) Patients with progressively deteriorated in 1-2 years, valvular progressive destroy, cardiomegary increase, 3) Patients with refractory heart failure or the toxic symptoms developed easily in using digitalis preparations; 4) Mucin increase being indication of rheumatic fever and rapid sedimentation rate or antistreptolysin O increase or both, if other conditions excluded, diagnosis of rheumatic fever could be considered
1． 林传骧. 中华心血管疾病杂志 1982;10 (1) :1．
2． 黑龙江省风湿病流行学调查协作组. 中华心血管疾病杂志 1982;10(1) :2．
3． 广东省心血管病研究协作组. 中华心血管疾病杂志 1982;10(1) :8．
4． 王诗恒,等. 中华心血管疾病杂志1982; 10(1) :13．
5．#12
基本信息:
引用信息:
[1]吴福恩,洪秀芳,阿吉,等.慢性风湿性心脏瓣膜病伴风湿活动诊断问题的探讨[J].新疆医学院学报,1984(02):119-121.
1984-07-01
1984-07-01