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目的:了解甘肃省近15年来风湿性心脏病的临床特征。方法:对甘肃省7家综合性医院和1所急救中心1988年1月～2002年12月所有住院的风湿性心脏病患者的资料进行了调查。结果:风湿性心脏病患者共528例,其中男201例(38.1%),女327例(61.9%),平均发病年龄40岁,208例(39.4%)有风湿热史。首次以心力衰竭住院489例(92.6%),仅有19例(3.6%)因心脏杂音而住院。最常见的并发症是心房颤动(383例,72.5%),其次为栓塞(106例,20.1%)。超声心动图以二尖瓣狭窄多见(415例,78.6%),仅39例(7.4%)接受了手术治疗。15年来共死亡87例(16.5%)。结论:甘肃省风湿性心脏病的防治水平低,应提倡早诊断、早治疗。
Objective: To understand the clinical features of rheumatic heart disease in Gansu Province in recent 15 years. Methods: The data of all hospitalized patients with rheumatic heart disease from January 1988 to December 2002 in 7 general hospitals and 1 emergency center in Gansu Province were investigated. Results: There were 528 patients with rheumatic heart disease, of which 201 were male (38.1%) and 327 were female (61.9%). The average age of onset was 40 years and 208 cases (39.4%) had rheumatic fever. For the first time, 489 (92.6%) were hospitalized with heart failure and only 19 (3.6%) were hospitalized with heart murmur. The most common complication was atrial fibrillation (383 cases, 72.5%), followed by embolization (106 cases, 20.1%). Echocardiography was more common in mitral stenosis (415 cases, 78.6%) and only 39 cases (7.4%) were treated surgically. In 15 years a total of 87 patients died (16.5%). Conclusion: The prevention and treatment of rheumatic heart disease in Gansu province is low, and early diagnosis and early treatment should be advocated.