风心病并发风湿活动和感染性心内膜炎的诊断  

THE DIAGNOSIS OF ACTIVE RHEUMATIC HEART DISEASE AND SUBACUTE INFECTIVE ENDOCARDITIS

作　　者：官淑霞[1] 侯莉[1] 

机构地区：[1]蚌埠医学院附院心血管内科

出　　处：《蚌埠医学院学报》1991年第4期259-261,共3页Journal of Bengbu Medical College

摘　　要：本文对78例风湿性心脏病并发风湿活动,20例风湿性心脏病并发感染性心内膜炎,8例风湿活动与感染性心内膜炎并存的诊断进行探讨。风心病并发风湿活动,沿用Jones诊断标准敏感性很低,易造成漏诊。本文风湿活动主要表现为心衰,其次为游走性大关节酸痛。而血沉、抗“O”增高检出率较低。感染性心内膜炎因院外已不规则用过抗生素,故发热、血培养阳性率亦很低。风湿活动与感染性心内膜炎并存时其临床表现多不典型。This paper deals with the diagnosis of rheumatic heart disease associated with activity in 78 cases, subacute infective endocarditis in 20 cases and 8 cases of the co-existence. According to t he criteria of Jones, the sensitivity of diagnosis for active rheumaticheart disease was lower. This study showed that the congestive heart failure was the most significant clinical findings. The joints was painful, involving the large joints and flitting from one to the other, but not showed red and swollen. The elevation of ESR or ASO was not common. The clinical picture of subacute infective endocarditis, such as fever, positive culture of blood, was not frequently presented, as a result of the administration of antibiotics in out-hospital. When active and subacute infective endocarditis co-existed, the clinical picture was atypical.

关 键 词：风湿性心脏病 风湿 心内膜炎 

分 类 号：R541.204[医药卫生—心血管疾病]