作者报导30例典型类风湿性关节炎患者的心脏病变征据,并对他们的心向量图、心音图、体检、实验室、心电图和X线检查的发现加以比较。本文是综合上述诊断方法确定类风湿性关节炎患者心脏受累的性质和程度的第一篇预计性研究。研究结果,临床方面:30例中男女各半,关节疾病病期从7个月到32年,平均9.8年。1例有轻度心脏扩大,8例在胸骨左缘有局限性短暂的收缩期杂音(Ⅰ～Ⅱ级),4例可闻奔马律(S_4),13例有皮下小结节。 The authors report the evidence of heart disease in 30 patients with typical rheumatoid arthritis and compare their findings with cardiogram, phonocardiogram, examination, laboratory, electrocardiogram and radiography. This is the first predictive study that combines the above diagnostic methods to determine the nature and extent of cardiac involvement in patients with rheumatoid arthritis. The results, clinical aspects: 30 men and women in half, joint disease period from 7 months to 32 years, an average of 9.8 years. One case had slight enlargement of the heart, 8 cases had limited transient systolic murmur in the left sternal border (grade Ⅰ ~ Ⅱ), 4 cases could be heard gallop (S_4), and 13 cases had subcutaneous nodules.