甘肃省风湿性心脏病15年临床调查

Investigation on rheumatic heart diseasein Gansu province in recent 15 years

目的:了解甘肃省近15年来风湿性心脏病的临床特征。方法:对甘肃省7家综合性医院和1所急救中心1988年1月～2002年12月所有住院的风湿性心脏病患者的资料进行了调查。结果:风湿性心脏病患者共528例,其中男201例(38.1%),女327例(61.9%),平均发病年龄40岁,208例(39.4%)有风湿热史。首次以心力衰竭住院489例(92.6%),仅有19例(3.6%)因心脏杂音而住院。最常见的并发症是心房颤动(383例,72.5%),其次为栓塞(106例,20.1%)。超声心动图以二尖瓣狭窄多见(415例,78.6%),仅39例(7.4%)接受了手术治疗。15年来共死亡87例(16.5%)。结论:甘肃省风湿性心脏病的防治水平低,应提倡早诊断、早治疗。

Objective： To investigate the clinical feature of the cases with rheumatic heart disease in Gansu province in recent 15 years. Method： All the data of cases with rheumatic heart disease were collected from 8 hospitals in Gansu province during January 1988 to December 2002. Result：The investigation included 528 cases, 201 male（38.1%）and 327 female（61.9 % ）,mean age of 40 years with rheumatic heart disease. 208 cases（39.4 %） had history of rheumatic fever. Heart failure（92.6%）was the most common reason for hospitalization. Rare reason for hospitalization was murmur（3.6 %）. Atrial fibrillation （72.5 %） and embolism （20.1%） were two most common complication. Mitral stenosis （78.6%） was the most common damage of valves. The surgical procedure were performed in only 39 cases （7.4%）. In recent 15 years, 87 cases（16.5%） were died. Conclusion：The condition of prevention and treatment for rheumatic heart disease in Gansu province was bed. It is suggested that early diagnosis and early treatment were helpful for those who suffered from rheumatic heart disease.