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本文分析123例风心病临床病理资料,分成甲、乙两组,甲组76例(1958～1966),乙组47例(1970～1981),两组对照分析表明:1)风心病占该院内科出院总人数比例降低,发病及死亡平均年龄升高,发病后平均存活年限延长;2)整体临床表现较严重,合并心衰,房颤、栓塞、心源性肝硬变与黄疸者增多,而风湿活动者减少;3)联合瓣膜病损者增多。作者就以上临床病理变化对本病的诊断和鉴别诊断的影响作了讨论。
This article analyzes 123 cases of rheumatic heart disease clinical and pathological data, divided into A, B two groups, 76 cases of group A (1958 ~ 1966), 47 cases of group B (1970 ~ 1981), two groups of control analysis showed that: 1) The proportion of total number of medical discharge decreased, the average age of onset and death increased, the average survival period after the onset of prolonged; 2) the overall clinical manifestations of severe, combined with heart failure, atrial fibrillation, embolism, cardiac cirrhosis and jaundice were increased, While those with rheumatic activity decreased; 3) there was an increase in combined valvular lesions. The author of the above clinicopathological changes on the diagnosis and differential diagnosis of the disease were discussed.