本文报告类风湿性关节炎31例。所有患者周围关节均受损,23例发热,3例皮疹,3例有皮下结节。24例心电图检查中7例不正常。3例有左室肥厚,3例胸膜炎伴少量积液。24例RF检查中13例(54.2％)阳性。25例抗“O”测定中13例(52％)>500~u。类风湿性关节炎是全身性疾病,表现各异,但周围关节受损是最基本,最突出的症状和体征。关节外的表现也应予重视。 This article reports 31 cases of rheumatoid arthritis. All patients had impaired joints, 23 had fever, 3 had a rash, and 3 had subcutaneous nodules. 24 cases of electrocardiography in 7 cases is not normal. 3 cases had left ventricular hypertrophy, 3 cases of pleurisy with a small amount of effusion. Of the 24 RF examinations, 13 (54.2%) were positive. Thirteen (52%) of 25 anti-O measurements were> 500 u. Rheumatoid arthritis is a systemic disease that behaves differently, but the surrounding joints are the most basic and prominent symptoms and signs. Out-of-joint performance should also be valued.