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风湿性心脏病的患病率近年来虽有明显下降,但本院十年中心脏病住院病例731人中本病有216例,占29.6％。临床诊断以心杂音、心增大等体征结合风湿病史和X线、心电图、超声心动图等检查为依据。风湿活动诊断标准按1965年修正的Jones标准。本组发病年龄,性別与文献报道相符。瓣膜损害以单纯二尖瓣病变为最多(151例),占70％。并发症以心力衰竭为最多见,216例中心衰174例,占80.56％;房颤106例,占49.07％;风湿活动31例。风湿活动临床表现往往不典
Although the prevalence of rheumatic heart disease has dropped significantly in recent years, there were 216 cases (29.6%) of the 731 hospitalized patients with heart disease over the past 10 years in our hospital. Clinical diagnosis of heart murmur, increased heart and other signs combined with rheumatic history and X-ray, electrocardiogram, echocardiography and other tests as the basis. Rheumatism diagnostic criteria by the 1965 Jones revised standards. The incidence of this group, gender and reported in the literature. Valvular lesions were the simplest mitral valve lesions (151 cases), accounting for 70%. Complications were the most common in heart failure, with 216 cases of central failure of 174 cases (80.56%), atrial fibrillation of 106 cases (49.07%) and rheumatic activity (31 cases). Clinical manifestations of rheumatic activity are often atypical