报告了老年风湿性心脏病(风心病)71例,平均发病年龄53.6岁。与对照组比较,单纯二尖瓣狭窄者多,二尖瓣狭窄并关闭不全者较少;有风湿活动者少;心房纤颤发生率高(91.6％);浮肿和心源性肝硬化发生率低。心功能情况两组差异无显著性。误诊、漏诊主要原因是心脏杂音不典型,或忽视心脏听诊。 71 cases of elderly rheumatic heart disease (rheumatic heart disease) were reported, with an average age of onset of 53.6 years. Compared with the control group, only simple mitral stenosis, mitral stenosis and incomplete closure less; less rheumatic activity; atrial fibrillation (91.6%); edema and the incidence of cardiac cirrhosis low. There was no significant difference in cardiac function between the two groups. Misdiagnosis, missed diagnosis is mainly due to heart murmur is not typical, or ignore the heart auscultation.