幼年类风湿关节炎心脏损害18例临床分析

Clinical analysis of symptomatic cardiac involvement in juvenile rheumatoid arthritis (an analysis of 18 cases)

目的 :探讨幼年类风湿关节炎 ( JRA)心脏损的害临床特点。方法 :对幼年类风湿关节炎 ( JRA)并发心脏损害 1 8例进行临床特征及相关实验室资料分析。结果 :JRA心脏损害发生率 30 .0 % ,其中心肌病变 7例 ,占 38.9% ,心包炎 3例 ,占 1 6.7% ,瓣膜病变 4例 ,占 2 2 .2 % ,传导功能障碍 3例 ,占 1 6.7% ,冠状动脉炎 1例 ,占 5 .6%。结论 :JRA所致心脏损害比较常见 ,超声心动图对早期诊断 JRA心脏损害具有重要价值。

Objective :To explore the clinical characteristics of symptomatic cardiac involvement in JRA.Methods: The clinical manifestations and related test data of 18 cases with symptomatic cardiac involvement in JRA were analyzed. Results:In a retrospective study of 60 patients with JRA,symptomatic cardiac involvement occurred in 18 (30%) patients,myocardium disease occurred in seven (38.9%) patients,pericarditis in three (16.7%)patients ,valve disease in four (22.2%) patients,conduction dysfunction in three (16.7%) patients and coronaritis in one (5.6%) patient. Conclusion: Symptomatic cardiac involvement in JRA is comparatively universal, UCG has important value in diagnosing early symptomatic cardiac involvement in JRA.