急性风湿热的主要并发症为心脏炎和随后发生的慢性瓣膜性心脏病。由于无心脏炎的病人很少发生慢性瓣膜病,故准确判断有无心脏炎很重要。作者对33例急性风湿热患儿进行超声心动图检查以研究急性风湿热时心脏受累的特征。所有病例均按Jones修正标准诊断,因发热伴关节炎或关节痛入院,无1例主要是由于心脏有关的主诉或征象入院,平均年龄11.5±5.4岁。A组23例临床 The main complications of acute rheumatic fever are carditis and the subsequent development of chronic valvular heart disease. Since patients with no heart disease rarely suffer from chronic valvular disease, it is important to accurately determine whether or not there is any heart disease. The authors performed echocardiographic studies on 33 children with acute rheumatic fever to study the characteristics of cardiac involvement in patients with acute rheumatic fever. All cases were diagnosed with Jones correction criteria and admitted to hospital due to fever with arthritis or joint pain. None of the patients were admitted to the hospital due to heart-related complaints or signs, with an average age of 11.5 ± 5.4 years. A group of 23 cases of clinical