本文就33例类风湿性关节炎病例进行临床、X线、心电图和实验室检查。从而对类风湿心脏病的发生率、病变部位以及与临床的关系进行了探讨。作者认为类风湿性关节炎引起心脏病的发生率并不低,就心脏病变部位而言,心肌炎首位、瓣膜次之,心包炎则因症状的短暂而易漏诊。作者认为本病好发于关节病变的活动期,因此临床上有血沉增高者应提高对本病的警惕性。 This article on 33 cases of rheumatoid arthritis clinical, X-ray, ECG and laboratory tests. Thus the incidence of rheumatoid heart disease, lesion and clinical relationship were discussed. The authors believe that the incidence of heart disease caused by rheumatoid arthritis is not low, in terms of heart disease, myocarditis first, followed by the valve, pericarditis due to temporary symptoms and easy to miss. The authors believe that the disease occurs in the active period of joint disease, so clinically elevated ESR should raise the vigilance of the disease.