如果风湿热既不伴有急性心脏炎,又不继发慢性风湿性心脏病,那就显得并不重要。实际上,一般均认为风湿热是急性及慢性获得性心脏瓣膜疾病的唯一重要原因——即使没有风湿病的病史。Coombs 认为所有获得性二尖瓣疾病(以及所有儿童中不能解释的 It does not matter if rheumatic fever is neither associated with acute cardiitis nor secondary to chronic rheumatic heart disease. In fact, rheumatic fever is generally considered the only cause of acute and chronic acquired heart valve disease - even without a history of rheumatism. Coombs considers all acquired mitral valve disease (and unexplained in all children)