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本文总結了206例住院风心病人,对其临床上一些主要特点进行了分析、讨论。文章认为;合并有风湿活动和IE者在临床上是常见的,但由于警惕性不高、对不典型临床表现不够熟悉而常常发生漏诊。与一些病理资料对照,瓣膜损害和动脉栓塞均有较高的漏诊机会。辦膜损害中以主动脉瓣漏诊机会最多,其次为三尖瓣。动脉栓塞中,脑动栓塞漏诊机会较少,而肺、肾、脾、肠系膜等动脉栓塞漏诊机会均较多。
This article summarizes 206 cases of hospitalized patients with rheumatic heart disease, some of its clinical features were analyzed and discussed. The article believes that the combination of rheumatoid activity and IE are clinically common, but because of low vigilance, atypical clinical manifestations are not familiar enough and often missed diagnosis. With some pathological data, valve damage and arterial embolism have a higher chance of missed diagnosis. Do membrane damage in the aortic valve missed the most opportunities, followed by the tricuspid valve. In arterial embolism, missed diagnosis of cerebral embolism less opportunities, and lung, kidney, spleen, mesenteric and other arterial embolism missed the opportunity to have more.