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风湿热的诊断主要靠病史和临床表现,尽管有些病人表现不够典型,仍然强调风湿热早期诊断有重要的意义,对减轻临床症状,预防发生风湿性心瓣膜病有举足轻重的作用。 1.病史风湿热发病前1～4周内常有链球菌感染的病史,但有些病人没有链球菌感染的证据,而有病毒感染的证据也应引起足够重视。个别病人发病前无任何症状,病情呈潜伏经过,最后发展为心瓣膜病。典型的发病过程分为3期,即1期为链球菌咽炎期,持续4天左右,2期为隐匿期,大约持续1～3周,3期出现临床症状。
The diagnosis of rheumatic fever mainly depends on the history and clinical manifestations. Although some patients are not typical, it emphasizes the importance of early diagnosis of rheumatic fever and plays an important role in alleviating clinical symptoms and preventing rheumatic valvular disease. 1 history of rheumatic fever 1 to 4 weeks before the onset of the common history of streptococcal infection, but some patients do not have evidence of streptococcal infection, and evidence of viral infection should also be given enough attention. Before the onset of individual patients without any symptoms, the condition was latent after the final development of valvular heart disease. The typical course of the disease is divided into three stages, namely, stage 1 for the period of streptococcal pharyngitis, lasted for about 4 days, 2 for the occult period, lasted about 1 to 3 weeks, 3 clinical symptoms.