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体循环栓塞(栓塞)是慢性风湿性二尖瓣病的常见伴发病,死亡率极高。本文通过53例尸检与临床资料对比,分析研究栓塞与风湿性二尖瓣病的关系。 资料 尸检与临床资料为本校病理教研室与临床医院1952年至1978年的病例。53例皆具有慢性风湿性二尖瓣病特征。合并主动脉瓣病者24例,合并三尖瓣病者9例,合并心房纤颤者7例。心功能皆为3—4级。病例中不包括感染性心内膜炎。栓塞指来自左心的栓子栓塞肢体大动脉或心、脑、脾、肾等脏器,并出现肉眼可见的栓塞灶者。不包括肺栓塞。53例中男性23例,女性30例。平均年令33岁(14—78)。
Systemic embolism (embolism) is a common complication of chronic rheumatic mitral valve disease, the mortality rate is extremely high. In this paper, 53 cases of autopsy and clinical data were compared to analyze the relationship between embolism and rheumatic mitral valve disease. Data autopsy and clinical data for the Department Pathology Department and Clinical Hospital from 1952 to 1978 cases. 53 cases all have the characteristics of chronic rheumatic mitral valve disease. 24 patients with aortic valve disease, 9 patients with tricuspid valve disease, 7 patients with atrial fibrillation. Heart function are 3-4 grade. Infective endocarditis was not included in the cases. Embolism refers to embolization from the left heart embolism limb artery or heart, brain, spleen, kidney and other organs, and macroscopic embolism who appear. Does not include pulmonary embolism. Among 53 cases, 23 were male and 30 were female. The average age is 33 years old (14-78).