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本文对以二尖瓣病变为基础的42例老年风心病与同期42例青中年风心病作临床对比分析。老年风心病特点为:临床表现轻、风湿活动隐匿。有风湿史、心尖部Ⅱ级以上舒张期杂音、风湿再活动、肺动脉第二音亢进,分别为38.3％、19％、7.1％和2.4％;患者均有一种以上的合并症和并发症;房颤、其它心律失常和脑栓塞发生率高为92.8％与11.9％;强心甙中毒和精神症状较多见为14.3％与7.1％;本文通过3例手术后疗效观察指出:促使老年风心死亡率下降的一个因素是尽早手术。
In this paper, 42 cases of elderly rheumatic heart disease based on mitral valve disease and 42 cases of young and middle-aged rheumatic heart disease were compared clinically. Characteristics of senile rheumatism: clinical manifestations of light, rheumatic activities hidden. Rheumatoid history, apex Ⅱ above diastolic murmur, rheumatic reactivation, pulmonary second harmonic hyperthyroidism, respectively, 38.3%, 19%, 7.1% and 2.4%; patients with more than one complication and complications; room Tremor, other arrhythmias and cerebral embolism were 92.8% and 11.9% higher; cardiac glycoside poisoning and psychiatric symptoms were more common 14.3% and 7.1%; this article by 3 cases of postoperative observation showed that: to promote the elderly died of pneumoconiosis One of the factors that led to the drop in rates is early surgery.