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诊断标准:一、主要表现:(1)心脏炎(心瓣膜、心包膜、心肌均受损害);(2)迁徙性多发性关节炎;(3)皮下风湿性结节;(4)环形性红斑或结节性红斑;(1)舞蹈病。二、次要表现:(1)发热;(2)血沉增快;(3)既往有风湿热或风湿性心脏病史;(4)有链球菌感染的证据如滤泡性扁桃腺炎;(5)心电图 P—R 间隔延长或 Q—T 间隔延长。我们的诊断根据,凡出现两种主要表现兼有一种或多种次要表现即肯定诊断,只有一种主要表现兼有两种或两种以上的次要表现经过鉴别确定诊断。对此九例急性风湿热患者都是根据以上标准进行诊断的。另外结合鼻衄、心前区疼、浆膜炎、腹疼、多汗、贫血、白血球增高等亦提示了我们的诊断根据。治愈标准:九例急性风湿热患者经治疗后均按照下列条件作为治愈出院的:(1)多发性关节红肿及迁徙性疼痛完全消失;(2)皮下结节及多形性红斑均消失;(3)体温降至正常范围;(4)血沉降至正常或接近正常;(5)一般症状消失,贫血现象亦有某种程度的好转。
Diagnostic criteria: First, the main manifestations: (1) carditis (heart valve, pericardium, myocardial damage); (2) migratory polyarthritis; (3) subcutaneous rheumatic nodules; Erythema or erythema nodosum; (1) chorea. Second, the secondary manifestations: (1) fever; (2) ESR; (3) previous history of rheumatic fever or rheumatic heart disease; (4) there is evidence of streptococcal infection such as follicular tonsillitis; (5) ) ECG P-R interval extension or Q-T interval extension. Our diagnosis is based on, where there are two main manifestations of both one or more secondary performance that is definitely diagnosed, only one major manifestation of both two or more secondary manifestations identified by the diagnosis. Nine patients with acute rheumatic fever are diagnosed according to the above criteria. In addition combined with epistaxis, precordial pain, serositis, abdominal pain, hyperhidrosis, anemia, leukocytosis, etc. also prompted the basis of our diagnosis. Cure criteria: Nine patients with acute rheumatic fever after treatment were discharged in accordance with the following conditions were cured: (1) multiple joint swelling and migratory pain completely disappeared; (2) subcutaneous nodules and erythema multiforme were disappeared; ( 3) body temperature dropped to the normal range; (4) erythrocyte sedimentation rate decreased to normal or near normal; (5) the general symptoms disappear, anemia also improved to some extent.