急性风湿热：修订的诊断标准。

Acute Rheumatic Fever: Revised Diagnostic Criteria.

作者信息

Rhodes Kelsey L, Rasa Malia M, Yamamoto Loren G

机构信息

Pediatric Residents (Rhodes, Rasa) and Professor of Pediatrics (Yamamoto), Department of Pediatrics, University of Hawaii John A. Burns School of Medicine; Pediatric Residents (Rhodes, Rasa) and Chief of Staff and Pediatric Emergency Physician (Yamamoto), Kapi'olani Medical Center for Women and Children, Honolulu, HI.

出版信息

Pediatr Emerg Care. 2018 Jun;34(6):436-440. doi: 10.1097/PEC.0000000000001511.

DOI:10.1097/PEC.0000000000001511

PMID:29851920

Abstract

The Jones criteria of 2 major criteria or 1 major plus 2 minor criteria that have been classically used to establish the diagnosis have been significantly modified in 2015 by the American Heart Association. The criteria now include the utilization of echocardiography and Doppler color flow mapping as diagnostic tools for carditis, along with defining criteria in relation to overall population risk, delineating low- versus moderate-high risk populations. Monoarthritis and polyarthralgia are now major criteria for moderate- to high-risk groups.

摘要

传统上用于确立诊断的Jones标准，即2项主要标准或1项主要标准加2项次要标准，在2015年被美国心脏协会大幅修改。现在的标准包括使用超声心动图和彩色多普勒血流成像作为心肌炎的诊断工具，同时还根据总体人群风险定义了相关标准，区分低风险与中高风险人群。单关节炎和多关节痛现在是中高风险组的主要标准。