新西兰某社区风湿热的诊断标准。

Diagnostic criteria of rheumatic fever in a New Zealand community.

作者信息

Stanhope J M, Clarkson P M, Philipp R

出版信息

Aust N Z J Med. 1981 Jun;11(3):234-42.

Abstract

The diagnostic criteria of acute rheumatic fever are reviewed from experience in a New Zealand community. Two-hundred-and-sixty-one first attacks labelled rheumatic fever and 209 other episodes occurred in a defined geographic population during 1962--76. The major importance of heart, joint and brain manifestations is confirmed. Criterior levels for fever, P-R interval prolongation, erythrocyte sedimentation rate, white cell count and antistreptolysin-O titre are suggested. Nodules and evidence of established rheumatic heart disease were not found to be of diagnostic significance because they tended to be equally common among patients with rheumatic fever and patients considered to have another disease. Separate criteria for cases with and without pre-existent rheumatic heart disease are given, to enable assignment of episodes to probable rheumatic fever status.

摘要

根据新西兰一个社区的经验，对急性风湿热的诊断标准进行了回顾。在1962年至1976年期间，在一个特定地理区域的人群中发生了261例首次发作的风湿热病例以及209例其他发作情况。心脏、关节和脑部表现的主要重要性得到了证实。提出了关于发热、P-R间期延长、红细胞沉降率、白细胞计数和抗链球菌溶血素-O滴度的标准水平。未发现结节和已确诊的风湿性心脏病证据具有诊断意义，因为它们在风湿热患者和被认为患有其他疾病的患者中往往同样常见。给出了有和没有既往风湿性心脏病病例的单独标准，以便将发作情况归类为可能的风湿热状态。