一、风湿性心脏炎肾上腺皮质激素(简称激素)对风湿热有肯定的疗效。1965年报告英美联合对497例风湿热儿童使用ACTH、可的松和阿斯匹林治疗并随访10年的结果,证明了使用任何一种药物治疗,对疗效和预后影响差异不大。尽管激素不能防止心脏的损害,但在风湿热急性期却比水杨酸能更有效地控制炎症。激素能抑制炎症渗出、减少血管通透性;并能抑制体内抗体产生,从而防止免疫反应。临床表现为 First, rheumatic carditis adrenal cortex hormone (referred to as hormone) have a positive effect on rheumatic fever. The report of 1965 on the use of ACTH, cortisone, and aspirin in 497 rheumatic fever children treated by the Anglo-American joint study and the follow-up of 10 years proved that the use of any of the drug treatments has little effect on the efficacy and prognosis. Although hormones do not prevent heart damage, they control inflammation more effectively than salicylate during the acute phase of rheumatic fever. Hormone can inhibit inflammatory exudation and reduce vascular permeability; and can inhibit the production of antibodies in vivo to prevent immune response. Clinical manifestations of