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类风湿关节炎心脏损害36例临床分析
引用本文:吉恒东,邹红梅,路峰,林静. 类风湿关节炎心脏损害36例临床分析[J]. 实用全科医学, 2011, 9(3): 403-404
作者姓名:吉恒东  邹红梅  路峰  林静
作者单位:南通大学附属泰州市人民医院风湿免疫科;
摘    要:目的探讨类风湿关节炎心脏损害的特点及诊断方法。方法收集2006年6月-2010年5月类风湿关节炎住院患者121例,根据检查结果分为心脏损害组和无心脏损害组。分析年龄、性别、病程及疾病活动与类风湿关节炎心脏损害的相关性。结果 121例类风湿关节炎患者中心脏损害36例(29.8%),其中心包炎12例(33.3%),心电图ST-T缺血性改变8例(22.2%),心律失常7例(19.4%),瓣膜病变5例(13.9%),心肌损害3例(8.3%),冠状动脉炎1例(2.8%)。14例(38.9%)出现临床症状,主要表现为活动后轻度心悸胸闷。心脏损害组类风湿因子(RF)滴度、血沉(ESR)明显高于无心脏损害组。结论类风湿关节炎心脏损害并不少见,且与疾病活动相关。超声心动图在诊断类风湿关节炎心脏损害方面具有重要价值。

关 键 词:类风湿关节炎  心脏损害  超声心动图

Clinical Analysis of 36 Patients of Rheumatoid Arthritis with Cardiac Involvement
JI Heng-dong,ZOU Hong-mei,LU Feng,et al.. Clinical Analysis of 36 Patients of Rheumatoid Arthritis with Cardiac Involvement[J]. Applied Journal Of General Practice, 2011, 9(3): 403-404
Authors:JI Heng-dong  ZOU Hong-mei  LU Feng  et al.
Affiliation:JI Heng-dong,ZOU Hong-mei,LU Feng,et al.Department of Rheumatology and Immunology,Taizhou People's Hospital Affiliated to Nantong University,Taizhou 225300,Jiangsu,China
Abstract:Objective To evaluate the features and diagnosis of the cardiac involvement caused by rheumatoid arthritis(RA).Methods One hundred and twenty four RA inpatients from June 2006 to May 2010 were enrolled in this study.The patients were divided into cardiac involvement group and non cardiac involvement group according to the test results.Results The incidence of cardiac involvement caused by RA was 29.8%(36/121),in which pericarditis accounted for 33.3%(12/36),ECG ST-T ischemic changes for 22.2%(8/36),cardiac ...
Keywords:Rheumatoid arthritis  Cardiac involvement  Echocardiogram  
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