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小儿风湿病是影响儿童健康的常见病,心脏受累是权衡本病严重程度的重要标志。因此,力求及早诊断,合理治疗,预防复发,对降低风湿病病死率,减少慢性心瓣膜病变有着重要的意义。江西省儿童医院自1973年元月至1980年6月按1965年修订的Jones标准,确诊为小儿风湿病心脏型233例,为同期住院总人数的3.5‰(233/66140),占同期风湿病住院人数389例的59.9％。其中急性风湿热心脏炎186例(79.8％),慢性心瓣膜病并心脏炎47例(20.2％)。现分析如下:
Pediatric rheumatism is a common disease affecting children’s health. Heart involvement is an important indicator of weighing the severity of the disease. Therefore, to seek early diagnosis, reasonable treatment, prevention of recurrence, to reduce the mortality rate of rheumatism, reduce chronic heart valve disease is of great significance. Children’s Hospital of Jiangxi Province from January 1973 to June 1980 revised Jones standard 1965, diagnosed as pediatric rheumatic heart type 233 cases, the same period the total number of hospitalized 3.5 ‰ (233/66140), accounting for the same period of rheumatism 59.9% of 389 cases. There were 186 cases (79.8%) of acute rheumatic fever with heart disease, 47 cases (20.2%) of chronic valvular heart disease with carditis. Now analysis is as follows: