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亚急性细菌性心内膜炎在临床上并不少见,根据文献约有5—25%的心脏瓣膜病患者可以发生此症。但国内对此病的综合性报导不多,1950年林氏报告18例,1956年张氏等报告32例;本院内科在过去6年(1951—1956)中,共收治此病51例,其中一例已经尸体解剖证实,但因病历遗失无法调查,兹将其余50例的临床资料做一简单的分析与讨论,以供同道参考。本组病例的诊断标准系根据以下三点:(一)有心脏病的背景;(二)有较长时间的发烧;(三)有栓塞、出血点、血尿、脾大、贫血等现象之一、二者。
Subacute bacterial endocarditis is not uncommon in the clinic, according to the literature about 5-25% of patients with valvular heart disease can occur. However, the domestic comprehensive report on the disease is not much, in 1950, 18 cases of Lin’s report, 1956 Zhang et al reported 32 cases; hospital in the past 6 years (1951-1956), a total of 51 cases of the disease, One case has been confirmed by autopsy, but due to the loss of medical records can not be investigated, the remaining 50 cases of clinical data to do a simple analysis and discussion for fellow reference. The diagnostic criteria of this group of patients is based on the following three points: (a) the background of heart disease; (b) have a fever for a long time; (c) embolism, bleeding, hematuria, splenomegaly, anemia and other phenomena ,both.