风湿热诊疗规范  

Recommendations for the diagnosis and treatment of rheumatic fever in China

作　　者：古洁若[1] 林智明[1] 王友莲[2] 李龙 杨娉婷[4] 赵岩[5] 代表中华医学会风湿病学分会 肖敏 Gu Jieruo;Lin Zhiming;Wang Youlian;Li Long;Yang Pingting;Zhao Yan;on behalf of Chinese Rheumatology Association(Department of Rheumatology and Immunology,the Third Affiliated Hospital of Sun Yat-sen University,Guangdong Province Clinical Medical Research Center for Immunological Diseases,Branch of National Clinical Research Center for Dermatologic and Immunologic Diseases,Guangzhou 510630,China;Department of Rheumatology and Clinical Immunology,Jiangxi Provincial People′s Hospital Affiliated to Nanchang University,Nanchang 330006,China;Department of Rheumatology,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China;Department of Rheumatology and Immunology,the First Affiliated Hospital of China Medical University,Shenyang 110001,China;Department of Rheumatology and Clinical Immunology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,National Clinical Research Center for Dermatologic and Immunologic Diseases,Ministry of Science&Technology,State Key Laboratory of Complex Severe and Rare Diseases,Key Laboratory of Rheumatology and Clinical Immunology,Ministry of Education,Beijing 100730,China;不详)

机构地区：[1]中山大学附属第三医院风湿免疫科、广东省免疫病临床研究中心、国家皮肤与免疫疾病临床医学研究中心分中心,广州510630 [2]江西省人民医院、南昌大学附属人民医院风湿免疫科,南昌330006 [3]贵州医科大学附属医院风湿科,贵阳550004 [4]中国医科大学附属第一医院风湿免疫科,沈阳110001 [5]中国医学科学院、北京协和医学院、北京协和医院风湿免疫科、国家皮肤与免疫疾病临床医学研究中心、疑难重症及罕见病国家重点实验室、风湿免疫病学教育部重点实验室,北京100730 [6]不详 [7]中山大学附属第三医院风湿免疫科

出　　处：《中华内科杂志》2023年第9期1052-1058,共7页Chinese Journal of Internal Medicine

摘　　要：风湿热是一种因A组链球菌咽部感染后反复发作的急性或慢性全身结缔组织炎症,属自身免疫病。在我国,风湿热虽然并不少见,但其规范化诊断和治疗依然落后于其他风湿性疾病。中华医学会风湿病学分会在借鉴国内外诊治经验和指南的基础上,制定了本规范,旨在规范风湿热的诊断方法、治疗时机及治疗方案,对患者的短期与长期治疗给予建议,以减少不可逆损伤的发生,改善患者预后。Rheumatic fever is an autoimmune disease characterized by recurring acute or chronic systemic connective tissue inflammation caused by group A streptococcal infection in the throat.Although rheumatic fever is common in China,there is a lack of standardized criteria for the diagnosis and treatment of this condition.Based on evidence and guidelines from China and other countries,the Chinese Rheumatology Association developed standardized criteria for the diagnosis and treatment of this disease in China.The aim was to standardize rheumatic fever diagnosis methods,treatment opportunities,and strategies for both short-and long-term treatment,so as to reduce irreversible damage and improve prognosis.

关 键 词：风湿热 诊断 治疗 预后 

分 类 号：R593.21[医药卫生—内科学]