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目的:分析小儿风湿热及风湿性心脏病的临床表现及特点。方法:收治因风湿热所致风湿性心脏病患儿60例,分为观察组和对照组。比较两组患儿的临床资料以及实验室检查结果。结果:观察组心肌炎发病率明显高于对照组(P<0.05)。对照组心力衰竭、多发性关节炎合并心肌炎、关节痛的发病率明显高于观察组(P<0.05)。观察组GAS阳性率明显高于对照组(P<0.05)。观察组Cox B阳性率明显低于对照组(P<0.05)。结论:结合临床表现及实验室检查结果可提高小儿风湿热及风湿性心脏病的确诊率。
Objective: To analyze the clinical manifestations and characteristics of rheumatic fever and rheumatic heart disease in children. Methods: 60 cases of children with rheumatic heart disease due to rheumatic fever were divided into observation group and control group. The clinical data and laboratory test results of two groups were compared. Results: The incidence of myocarditis in observation group was significantly higher than that in control group (P <0.05). The incidence of heart failure, polyarthritis and myocarditis in control group was significantly higher than that in observation group (P <0.05). The positive rate of GAS in the observation group was significantly higher than that in the control group (P <0.05). The positive rate of Cox B in observation group was significantly lower than that in control group (P <0.05). Conclusion: Combined with clinical manifestations and laboratory tests can improve the diagnosis of rheumatic fever and rheumatic heart disease in children.