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以往,风湿热被作为小儿科胶原病的代表疾病。随着时代变迁,儿科胶原病也在发展变化。厚生省儿童家庭局调查,1972年风湿热4137例,幼年类风湿性关节炎(JRA)34例,SLE117例,其他胶原病218例。而1979年风湿热448例,JRA571例,其他胶原病1591例,JRA以多数取代了风湿热。70年代日本大学小儿科胶原病例统计,风湿热发病率最高占87例,其次为JRA,10年后,风湿热占14例,JRA以多发而取代。风湿热风湿热作为小儿科胶原病的代表疾病,其病例明显减少,目前风湿热的发病率很低。其减少原因之一是使用抗溶血性链球菌抗生素及卫生条件改善等。
In the past, rheumatic fever was used as a representative disease of pediatric collagen disease. As the times change, pediatric collagen disease is also changing. The Ministry of Health, Children and Family Affairs investigated 4137 cases of rheumatic fever in 1972, 34 cases of juvenile rheumatoid arthritis (JRA), 117 cases of SLE and 218 cases of other collagen diseases. In 1979, 448 cases of rheumatic fever, JRA571 cases, 1591 cases of other collagen disease, JRA replaced by the majority of rheumatic fever. 70 cases of Japanese universities pediatric collagen case statistics, the highest incidence of rheumatic fever accounted for 87 cases, followed by JRA, 10 years later, rheumatic fever accounted for 14 cases, JRA replaced by multiple. Rheumatic fever Rheumatic fever as a representative of pediatric collagen disease, the case was significantly reduced, the current incidence of rheumatic fever is very low. One of the reasons for this reduction is the use of anti-hemolytic streptococcal antibiotics and improvement of hygiene conditions.