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本文报告了老年人风湿性心脏病50例,占同期住院风心病患者总数的5.7％。其中5例(10％)住院期间死亡,6例(12％)入院时误诊。36例(72％)并发心力衰竭,25例(50％)并发心房纤颤,10例(20％)合并冠心病,3例(6)合并肺心病。本文就老年人风心病的临床特点、并发症及误诊原因等问题进行了探讨。
This article reports 50 cases of rheumatic heart disease in the elderly, accounting for 5.7% of the total number of hospitalized patients with rheumatic heart disease in the same period. Of these, 5 (10%) died during hospitalization and 6 (12%) were misdiagnosed at admission. Thirty-six patients (72%) with heart failure, 25 patients (50%) with atrial fibrillation, 10 patients (20%) with coronary heart disease and 3 patients (6) with pulmonary heart disease. In this paper, the clinical features of elderly patients with rheumatic heart disease, complications and causes of misdiagnosis and other issues were discussed.