Woo K S, Kong S M, Wai K H
Aust N Z J Med. 1983 Apr;13(2):151-6. doi: 10.1111/j.1445-5994.1983.tb02671.x.
The occurrence and pattern of rheumatic fever and rheumatic heart disease in Hong Kong in the years 1968 to 1978 were surveyed. The incidence of rheumatic fever in hospitals had decreased by four-fifths in the past 10 years. Rheumatic fever nowadays still predominantly affects children and younger adults, but middle-aged patients may also be affected. There are a slight female dominance (1.3 to 1) and a relative predominance of patients from urban areas. A less severe form of manifestation in adult patients is encountered nowadays. Carditis was the dominant feature in 1968, but joint involvement was more common in recent years. Rheumatic nodules, chorea or erythema marginatum remained uncommon throughout the years. Only 49% of cases satisfied the revised Jones criteria (1965). In comparison, chronic rheumatic heart disease still remained prevalent, with a slower trend of decreasing prevalence. It accounted for (36 to 50%) of total cardiac admissions. The mitral valve was involved in (82.7 to 91.7%), aortic valve in (15.5 to 36.3%), while involvement of tricuspid or pulmonary valve was relatively uncommon. The socio-economic implication of this changing trend was analysed, and the problem encountered in diagnosing rheumatic fever discussed.
对1968年至1978年香港风湿热和风湿性心脏病的发病情况及模式进行了调查。在过去10年中，医院里风湿热的发病率下降了五分之四。如今，风湿热仍主要影响儿童和年轻人，但中年患者也可能受到影响。女性略占优势（比例为1.3比1），且市区患者相对较多。如今成年患者的表现形式没那么严重。1968年，心脏炎是主要特征，但近年来关节受累更为常见。风湿结节、舞蹈病或边缘性红斑多年来一直不常见。只有49%的病例符合修订后的琼斯标准（1965年）。相比之下，慢性风湿性心脏病仍然很普遍，患病率下降趋势较为缓慢。它占心脏科住院总人数的（36%至50%）。二尖瓣受累的比例为（82.7%至91.7%），主动脉瓣为（15.5%至36.3%），而三尖瓣或肺动脉瓣受累相对少见。分析了这种变化趋势的社会经济影响，并讨论了诊断风湿热时遇到的问题。
