儿童风湿热和风心病60例临床分析

Rheumatic fever and rheumatic heart disease in children: Clinical analysis of 60 cases

收集1983年1月～1993年1月按修定的Jones标准诊断为风湿热和风心病并风湿活动的5～15岁患儿共60例,并进行了分析,认为诊断风湿热或风湿活动应开展多项目、多指标联合检查,并结合临床综合分析。强的松与阿斯匹林联合应用较单一用药为优,并应坚持全疗程。预防风心病关键在于防止风湿热的复发.

60 children( aged 5-15) with rheumatic fever and rheumatic heart disease complicated by active rheumatism were collected from 1983 to 1993 according to the revised Jones's Standard. It is thought that combined examinations of multiple indexes and items, and combined clinical analysis be made to diagnose rheumatic fever or active rheumatism. Prednisone combined with aspirin was better than single dosage and should be continued during the whole course of treatment. The key to prevent rheumatic heart disease is to stop rheumatic fever from recurrence.