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作者将中国协和医院1931-1956年的风湿热病人168例加以分析。采用了Jones氏提出的诊断标准。其中大部份(80 .3%)都是初次发病住院的,其余33名虽然过去有同样发作历史,但在入院时均无心力衰竭症状。作者结合文献对本症中诊断、治疗和预防作了较全面的讨论,其摘要如下:一、诊断问题:1944年Jones氏提出所谓主要及次要诊断标准后,1955年“风湿热研究专门委员会”原则接受他的意见,并增加了若干临床上诊断风湿热的标准。但作者认为这些条件作为进行临床调查还可以,为了达到早期诊断则嫌过严。分析之168例风湿热,在发病初期其临床所见,可分为下列几型:1.游走性关节炎型,成人为主,侵害大关节,
The authors analyzed 168 patients with rheumatic fever from 1931 to 1956 in Peking Union Medical College Hospital. Using the diagnostic criteria proposed by Jones. Most of them (80.3%) were hospitalized for the first time, and the remaining 33 patients had the same history of seizures without symptoms of heart failure at admission. The authors combined with the literature on the diagnosis, treatment and prevention of this disease made a more comprehensive discussion, the summary is as follows: First, the diagnosis: Jones in 1944 proposed the so-called primary and secondary diagnostic criteria, 1955, “Rheumatoid Research Committee ”Principle accepted his opinion, and added a number of clinically diagnosed rheumatic fever standards. However, the authors believe that these conditions can be used as a clinical investigation, too early in order to achieve early diagnosis. Analysis of the 168 cases of rheumatic fever, early in the clinical manifestations of the disease can be divided into the following types: 1. Migratory arthritis type, adult-based, infringement of the joints,