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1975～1986年,我院住院的心脏病患者中,老年(≥60岁)风心病次于老年冠心病和老年肺心病占第3位。前6年(1975年～1980年)和后6年(1981～1986年)分别为6%、7. 4%,老年风心病住院人数有增加趋势。老年风心病瓣膜损害较轻,并发症以栓塞、肺内感染为主。老年风心病病死率较过去有明显下降,12年间由36. 3%降至13. 3%,存活时间延长。死亡原因以栓塞为主,其次是心衰、心律失常。误诊原因则为对老年风心病认识不足和未与冠心病仔细鉴别。
From 1975 to 1986, among the hospitalized patients with heart disease in our hospital, the incidence of rheumatic heart disease in elderly (≥60 years) was the third among elderly patients with coronary heart disease and senile pulmonary heart disease. The first 6 years (1975 to 1980) and the latter 6 years (1981 to 1986) were 6% and 7.4% respectively. The number of elderly patients with rheumatic heart disease tended to increase. Elderly patients with rheumatic heart disease less damage, complications of embolism, pulmonary infection. Elderly rheumatic disease mortality was significantly lower than in the past, 12.3 years from 36. 3% to 13. 3%, longer survival time. The main cause of death was embolism, followed by heart failure and arrhythmia. Misdiagnosis is due to lack of understanding of senile rheumatic heart disease and not carefully identified with coronary heart disease.