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对250例类风湿关节炎病人进行了临床分析。发病类型分为急性起病型(24%)和慢性起病型(76%)两种。尽管起病类型不同,均可呈现以下四种病程中的任何一种:①单次发作病程,即仅有起病时一次发作,以后病情缓解至少持续两年,占22.8%。②隐匿型病程,占15.2%。有些病人虽为急性起病,但数月后转为此型;③多次反复发作病程,占35.2%。两次发作期间歇期可基本无症状,或仍有较轻症状;④持续进展型,在病程中受侵关节逐步增多,占26.8%。本文还报告了15例回纹型风湿病的临床表现,其中4例在病程晚期发展为类风湿关节炎。我们认为回纹型风湿病可能是类风湿关节炎的一种变异型。
Clinical analysis of 250 patients with rheumatoid arthritis. The incidence of type is divided into acute onset (24%) and chronic onset (76%) two. Although the different types of onset, can present any one of the following four courses: ① a single attack duration, that is, only one episode of onset, after the remission for at least two years, accounting for 22.8%. ② occult type course, accounting for 15.2%. Although some patients with acute onset, but later converted to this type; ③ repeatedly repeated course of disease, accounting for 35.2%. Intermittent period of the two episodes may be asymptomatic, or there are still mild symptoms; ④ continuous progress in the course of disease gradually increased invaded joints, accounting for 26.8%. This article also reported the clinical manifestations of 15 cases of pattern-type rheumatism, of which 4 cases developed rheumatoid arthritis in the late course of the disease. We think that rheumatoid arthritis may be a variant of rheumatoid arthritis.