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儿童类风湿病44例,男28例,女16例,男女比为1.75:1,年龄9月~12岁。所有病例均有不同程度发热;有皮疹者19例;关节受累者33例,以膝关节为多共23例,其次为踝、腕、指、肘、趾等关节。白细胞总数高于10×109/L者31例,中性粒细胞高于0.50者42例。44例血沉均增快。38例类风湿因子检查者阳性8例。抗核抗体、粘蛋白、细胞免疫、血浆免疫球蛋白、补体C3均有不同程度的异常改变。本组除采用一般疗法外,用强的松与消炎痛或消炎痛与阿斯匹林的疗效较好,其退热及关节红肿消退时间比单用强的松短。
44 cases of children with rheumatoid disease, 28 males and 16 females, male to female ratio of 1.75: 1, aged 9 months to 12 years. All cases had different degrees of fever; there were 19 cases of rash; 33 cases of joint involvement, with a total of 23 cases of knee joint, followed by ankle, wrist, fingers, elbows, toes and other joints. Thirty-one patients with a total number of white blood cells higher than 10 × 109 / L and 42 patients with neutrophils higher than 0.50. 44 cases of ESR were faster. 38 cases of rheumatoid factor positive in 8 cases. Anti-nuclear antibodies, mucin, cellular immunity, plasma immunoglobulin, complement C3 have varying degrees of abnormal changes. In addition to the general use of this group, with prednisone and indomethacin or indomethacin and aspirin better curative effect, the fever and joint swelling and regression time shorter than prednisone alone.