Onwuchekwa A C, Ugwu E C
Department of Medicine, University of Maiduguri Teaching Hospital, Nigeria.
Trop Doct. 1996 Apr;26(2):67-9. doi: 10.1177/004947559602600208.
The pattern of rheumatic heart disease in 84 adolescent and adult patients seen over a 9 year period (1982-1990) at the University of Maiduguri Teaching Hospital (UMTH) is presented. Over 70% were in second and third decades of life. Pure mitral incompetence and mixed mitral valve disease were the commonest valvular lesions. This pattern appears similar to those in other developing countries. Congestive cardiac failure was the commonest complication. Declining economic fortunes of the developing countries, over crowding, malnutrition and inadequate medical facilities may further perpetuate the condition. Early recognition and the management of rheumatic carditis and early valvular lesions will reduce the morbidity and mortality.
本文介绍了在迈杜古里大学教学医院（UMTH）1982年至1990年9年期间诊治的84例青少年及成年风湿性心脏病患者的情况。超过70%的患者年龄在第二个和第三个十年。单纯二尖瓣关闭不全和混合性二尖瓣疾病是最常见的瓣膜病变。这种模式似乎与其他发展中国家的情况相似。充血性心力衰竭是最常见的并发症。发展中国家经济状况的下滑、过度拥挤、营养不良和医疗设施不足可能会使这种情况进一步恶化。早期识别和治疗风湿性心脏炎及早期瓣膜病变将降低发病率和死亡率。
