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回顾分析近 2 0年住院患儿急性风湿热 (ARF)和风湿性心脏病 (RHD) 2 16例的临床资料。自 80年代以来ARH和RHD发病从未间断。儿童ARF142例 ,主要损害仍是单纯心脏炎 ,占 73 9% ,其次为关节炎 ,心脏炎 +关节炎。心脏炎合并心力衰竭者占 47 3%。提示本地区儿童ARF病情仍较重。儿童RHD 74例 ,其瓣膜损害以二尖瓣病变最多见 ,占 71 6 % ,损害形式以关闭不全伴狭窄最多 ,联合瓣膜损害其次 ,占 2 8 4%。RHD合并心力衰竭占 85 1%。提示本地区儿童RHD瓣膜损害较严重 ,病情也较重。成都地区ARF及RHD发病现状应予重视 ,急需加强卫生宣传 ,切实做好风湿热的一级预防
A retrospective analysis of nearly 20 years of hospitalized children with acute rheumatic fever (ARF) and rheumatic heart disease (RHD) 2 16 cases of clinical data. The incidence of ARH and RHD has never stopped since the 1980s. Children ARF142 cases, the main damage is still simple heart inflammation, accounting for 73 9%, followed by arthritis, carditis + arthritis. Cardiac inflammation with heart failure accounted for 47 3%. Tip children ARF in this area is still serious. 74 cases of children with RHD, the most common valve damage mitral valve disease, accounting for 71.6%, damage to the form of incomplete closure with the most stenosis, followed by valve damage, accounting for 284%. RHD combined with heart failure accounted for 85 1%. Tip RHD valve damage in children in this region more serious, the condition is also heavier. The incidence of ARF and RHD in Chengdu should be given priority to urgently need to strengthen publicity on health and do a good job in primary prevention of rheumatic fever