【摘要】 目的　了解甘肃省近 15年来风湿性心脏病的临床特征。方法　采用整群抽样的方法对甘肃省 7家综合性医院和 1所急救中心 1988年 1月至 2 0 0 2年 12月所有住院的风心病患者的资料进行了调查。结果　共 5 18例 ,其中男 199例 (38.4%) ,女 319例 (6 1.6 %) ,平均发病年龄 40岁 ,2 0 8例 (40 .2 %)有风湿热史。首次以心衰住院 479例 (72 .5 %) ,仅有 17例 (3.7%)因心脏杂音而住院。最常见的并发症是心房纤颤 378例 (73.0 %) ,其次为栓塞 10 5例(2 1.3%)。超声心动图以二尖瓣狭窄多见 40 9例 (79.0 %)。仅 39例 (7.5 %)接受了手术治疗。 15年来共死亡 86例(16 .6 %)。结论　甘肃省风心病的防治水平低 ,应提倡早诊断、早治疗。更多还原

【Abstract】 Objective To investigate the clinical feature of the cases with rheumatic heart disease in GanSu province in recent 15 years. Methods All the data of cases with rheumatic heart disease were collected from 8 hospitals in GanSu province during January 1988～December 2002 by cluster sampling. Result The investigation included 518 cases, 199 male( 38.4%) and 319 female( 61.6%),mean age of 40 years,with rhewmatic heart disease. 208 cases had history of rheumatic fever. Heart failure( 72.5%)was the most common reason for hospitalization. Rare reason for hospitalization was murmur( 3.7%).Atrial fibrillation( 73.0%)and embolism( 21.3%) were two most common complication. Mitral stenosis( 79.0%) was the most common damage of valves. The surgical procedure were performed in only 39 cases( 7.5%).In recent 15 years, 86 cases( 16.6%)were died. Conclusion The condition of prevention and treatment for rheumatic heart desease in GanSu province was had.It was subjected that early diagnosis and early treatment were helpful for those who suffered from rheumatic heart desease.更多还原