急性风湿性关节炎32例分析及追踪观察

本文对３２例无心脏炎及其它主要表现的风湿性关节炎患儿进行了临床分析及长期随访，发现急性风湿热中关节受累者仍多见（占７３％），表现不典型者增多（１６％），认为不典型风湿性关节炎是不典型风湿热的主要表现类型，诊断时对不典型的关节表现应视为重要线索，无症状心前区杂音有变化也具有诊断价值随访发现其复发率低，但仍有发展为心脏瓣膜病者，治疗中定期应用抗生素至少５年以控制复发是必要的．

Clincal Analysis and Follow-up of 32 Cases with Acute Rheumatic Arthritis

Clinical analysis and long-term follow-up of 32 cases with simplex rheumatic arthritis in children have been carried out.The results show that articulation of patients with acute rheumatic fever is easily involved(73%),atypical' patients are increasing(16%).The authors consider that atypical rheumatic arthritis is principal type of atypical rheumatic fever.So,atypical arthritis symptom should be regarded as an important diagnostic information. Besides,changes of asymptomatic heart murmurm are of diagnostic value.The results of follow-up have showed that patients with rheumatic fever have lower relapes ratio.However,there still are some patients who have developed cardiac valves diseases.Therefore it is necessary to use antibiotics to control relapes for at least five years.