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检查急性风湿热33例,均为男性,年龄18～21岁.初次发病22例,第2～3次发病11例.70%的病例发病前患有急性咽峡炎,8例有慢性扁桃体炎,8例有慢性上颌窦炎、鼻炎和耳炎.发病4～7天出现游走性多关节炎,都有风湿性心肌炎,58%有心律失常和传导阻滞.18%有环形红斑,体温38～41℃,伴寒战、多汗、乏力.检查血清抗心磷脂抗体(ACL):ACL-IgG和ACL-IgM;循环的免疫复合物(CIC)和C-反应蛋白.对照组为40例健康人.结果:急性风湿热患者,ACL含量升高,主要是ACL-IgG升高,并且常见于有
Check the 33 cases of acute rheumatic fever, both men, aged 18 to 21 years, the initial incidence of 22 cases, the second to the third incidence of 11 cases.70% of cases before onset with acute angina, 8 cases of chronic tonsillitis , 8 cases of chronic maxillary sinusitis, rhinitis and otitis .About 4 to 7 days incidence of migratory polyarthritis, have rheumatic myocarditis, 58% arrhythmia and conduction block .18% have annular erythema, body temperature Serum anti-cardiolipin antibodies (ACLs): ACL-IgG and ACL-IgM; circulating immune complex (CIC) and C-reactive protein were detected in 40 to 41 Healthy people.Results: Patients with acute rheumatic fever, ACL content increased, mainly ACL-IgG increased, and is common in