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风湿性关节炎是内科常见病之一,更是风湿热的主要病型,国人约占81.4%~90.4%。然而迄今为止,对此尚无特异性的和灵敏性的诊断方法,临床依旧沿用着Jone氏和修订的Jonc氏诊断标准。但随着风湿热症状“轻化”倾向,传统典型的病例将逐渐减少,而非典型/隐匿性病例将相对增加。因而造成本病诊断的复杂性,增大漏诊与误诊的双重可能性。为论证这一观点,本文拟就48例出院的风湿性关节炎患者逐一按现行的统
Rheumatoid arthritis is one of the most common medical diseases, but also the main type of rheumatic fever, about 81.4% to 90.4% of people. So far, however, there is no specific and sensitive diagnostic method for this. The Jone’s and revised Jonc’s diagnostic criteria are still used clinically. However, with the “light” tendency of rheumatic fever symptoms, the number of classic cases will decrease gradually while the number of atypical / occult cases will increase relatively. Thus causing the complexity of the diagnosis of the disease, increasing the double possibility of missed diagnosis and misdiagnosis. In order to demonstrate this point of view, this article intends to discharge 48 patients with rheumatoid arthritis one by one according to the current system