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由于风湿性心脏病患者生存时间的延长,临床上遇到的年逾60岁的患者,越来越多。老年风湿性心脏病的诊断不很容易,文献报道,60岁以上者,临床诊断与病理不符合的达60～71％。为此,本文对55例老年风湿性心脏病进行了分析。其中男45,女10,60～69岁的45例,70岁以上的10例,平均年龄为66岁。临床上皆做了详细的有关检查。死亡的35例还作了病理检查。本文病例中42例因心衰、2例因心绞痛、10例因血栓栓塞性并发症,1例疑诊为急性胰腺炎入院。33例无风湿病史,检查时偶然发现风湿性心瓣膜病,一般多年间自觉健康,甚至可以从事繁重的体力劳动。老年风湿性心脏病与年轻患者的不同点是心衰的病史较短,一般从就诊算起到出现心衰平均为1～5年。
Due to prolonged survival of patients with rheumatic heart disease, clinical patients encountered more than 60 years old, more and more. The diagnosis of elderly rheumatic heart disease is not easy, reported in the literature, more than 60 years of age, clinical diagnosis and pathology do not meet the 60 ~ 71%. To this end, 55 elderly rheumatic heart disease were analyzed. Among them, 45 were males and 10 were females, 45 were 60-60 years old and 10 were over 70 years old, with an average age of 66 years. Clinically done a detailed inspection. 35 cases of death also made a pathological examination. In this paper, 42 cases of heart failure, 2 cases of angina pectoris, 10 cases of thromboembolic complications, 1 case of suspected acute pancreatitis admitted. 33 cases without a history of rheumatoid disease, check occasionally found that rheumatic valvular heart disease, usually consciously healthy for many years, and even engaged in heavy manual labor. The difference between elderly patients with rheumatic heart disease and young patients is a short history of heart failure, heart failure usually occurs from the diagnosis of an average of 1 to 5 years.