CHARACTER OF CLINICAL DISPLAYS OF ACUTE RHEUMATIC FEVER FOR CHILDREN DEPENDING ON THE GENERAL ECOLOGICAL INDEX OF THE DONBAS REGION
The aim of article was a study of character of clinical displays of acute rheumatic fever for children depending on the general ecological index of the Donbas region. Materials and methods. 194 children are inspected in age from 6 to 17. Results. There were 65 children with a acute rheumatic fever (33,5%), 129 (66,5%) chronic rheumatic heart disease. An arthral syndrome took place at 36 (55,4%) patients, chorea - at 12 (18,5%), circinate erythema - at 8 (12,3%), pericarditis - at 6 (9,2%), rheumatic knots - at 5 (7,7%). Echocardiography signs of defeat of heart is valvulitis. Valvulit shows up is the regurgitation of valves for 77,8% children, and bulge of leaves of valves for 44,4 % children. A mitral valve was most often damaged. Indexes of faction of the troop landing, degree of shortening of anteroposterior size of the left ventricle and speed of the circulator shortening of ﬁ bres of myocardium, were within the limits of norm. Myocardial disfunction was not violated. Dispersible dependence of degree of activity of illness is set on the parameters of general ecological index. There is direct cross-correlation connection between an unfavorable ecological situation in a region and severity of acute rheumatic fever for children course. Conclusions. A rheumatic heart disease meets for all children with a acute rheumatic fever, arthral syndrome - for every third patient. Considerably rarer there are rheumatic knots and circinate erythema. The reliable echography signs of defeat of heart at a acute rheumatic fever is valvulit, that shows up a valvular regurgitation, and also bulge of leaves of valves. There is a high-reliable line cross-correlation connection of activity of disease with parameters.