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目前,风湿热及其心脏病已较少见,而类风湿关节炎(RA)相对增多,但合并心、肺、肝、脾多脏器损害者较为少见,我院收治1例,报告如下。患者男,46岁,1985年因五年来反复心悸来内科就诊。发现心脏多瓣膜区双杂音,胸片示左第三前肋间1.5×2cm圆形阴影,双侧胸膜增厚,右肺门6×2cm半弧形囊状阴影(局部心包积液),右房室、右室增大。1986年5月17日因发热、鼻衄、阵发性呼吸困难、腿肿,拟诊为风心及类风湿关节炎入院。患者手足关节游走性痛,肿硬伴低热、乏力28年。踝膝
At present, rheumatic fever and its heart disease have been less common, while the relative increase of rheumatoid arthritis (RA), but with heart, lung, liver and spleen multiple organ damage are rare, admitted to our hospital in 1 case, the report is as follows. Male patient, 46 years old, 1985 Internal medicine due to repeated palpitations in five years. Found that the heart of double valve noise, chest X-ray showed the left third of the intercostal 1.5 × 2cm round shadow, bilateral pleural thickening, the right hilum 6 × 2cm semi-curved cystic shadow (local pericardial effusion), right Atrioventricular, right ventricular enlargement. May 17, 1986 Due to fever, epistaxis, paroxysmal dyspnea, leg swelling, diagnosed as rheumatoid arthritis and rheumatoid arthritis hospitalization. Patients walking hand-foot joint pain, swollen with fever, fatigue 28 years. Ankle knee