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作者将1978～1980年患慢性风湿性心脏瓣膜病住院治疗的405例患者,对其中117例临床确诊及提示风湿活动者进行分析,提出四条慢性风湿性心脏瓣膜病伴风湿活动的诊断条件:1.风心病者伴Jones标准中一项主要或次要表现者;2.风心病者在短期(1～2年)内病情迅速恶化,瓣膜病变进行性加重,心脏进行性增大;3.风心病者伴发难治性心力衰竭,对洋地黄易发生过量反应者;4.粘蛋白增高是风湿活动较敏感的指标。血沉快或抗“O”高,或两者同时高,如能排除其它原因,也应考虑风湿活动。
The author of 405 cases of chronic rheumatic heart disease hospitalized in 1978-1980 hospitalized patients, of which 117 cases were clinically diagnosed and prompted rheumatism were analyzed, the proposed four chronic rheumatic heart disease with rheumatoid rheumatoid activity diagnostic criteria: 1 . Patients with rheumatic heart disease have a major or minor performance in the Jones standard. 2. Patients with rheumatic heart disease rapidly deteriorate within a short period of time (1-2 years), the valvular disease progresses, and the heart progressively increases. Heart disease associated with refractory heart failure, prone to overreaction to digitalis; 4. Mucin increased rheumatoid activity is more sensitive indicators. ESR or anti “O” high, or both at the same time, if you can rule out other reasons, should also consider rheumatoid activity.