论文部分内容阅读
本文报告风湿性心脏病死亡病例470例,对死亡年龄、时间,季节,瓣膜受损情况,自然病程,并发症与死因进行了临床分析。提出了Joneg标准对轻型风湿热的诊断不够敏感,主张年轻患者应长期预防风湿热再发。本文对风心病的病情演变情况进行了比较,指出70年代以来风心病患者寿命延长,心房纤颤与栓塞发生率增加,心衰作为死因下降,猝死增加。猝死原因以洋地黄中毒的可能性最大,值得引起临床重视。
This article reports 470 cases of death from rheumatic heart disease, clinical analysis of the age, time, season, valve damage, natural history, complications and cause of death. Proposed the Joneg standard is not sensitive to the diagnosis of light-weight rheumatic fever, advocating that young patients should be the long-term prevention of recurrence of rheumatic fever. This article compares the evolution of rheumatic diseases, and points out that patients with rheumatic heart disease have prolonged life expectancy, increased incidence of atrial fibrillation and embolism since the 1970s, heart failure as a cause of death decreased, and sudden death increased. The cause of sudden death to digitalis poisoning most likely to cause clinical attention.