摘要
目的分析近年来感染性心内膜炎(IE)临床特点的变化。方法回顾性分析1998年10月—2006年6月住院治疗的72例IE患者的的临床资料,包括血培养、超声检查、手术治疗及预后等资料。结果72例IE患者中,<40岁44例(61.1%),风湿性心脏病37例(51.4%),先天性心脏病16例(22.2%),特发性二尖瓣脱垂及关闭不全13例(18.1%),分别居基础心脏病的前3位。不规则发热53例(73.6%)、心力衰竭26例(36.1%)、贫血18例(25.0%)、脾肿大6例(8.3%)、Osler结2例(2.8%)和脑血管意外1例(1.4%)。超声心动图检查发现赘生物49例(68.1%);细菌培养47例,阳性22例(46.8%),其中致病菌为链球菌16例(34.0%),葡萄球菌4例(8.5%),肠球菌1例(2.1%)、其他细菌1例(2.1%);手术治疗65例(90.3%),住院期间死亡1例(1.4%)。结论IE多见于40岁以下人群,以风湿性心脏病为常见基础心脏病,链球菌是常见致病菌,及时手术能降低住院病死率。
Objective To evaluate the clinical features of infectious endocarditis(IE)in recent years.Methods Retrospectively analysis 72 cases with IE from Oct,1998 to Jun,2006,the indexed included clinical materials,blood culture,ultrasonography,surgery procedure and prognosis.Results Forty four cases of 72(61.1%)was below 40 years of age.Rheumatic heart disease(RHD)was 37 cases(51.4%),congenital cardiovascular diseases was 16 cases(22.2%),idiopathic mitral valve prolapse and incompetence was 13 cases(18.1%).There we...
出处
《疑难病杂志》
CAS
2008年第7期385-387,共3页
Chinese Journal of Difficult and Complicated Cases
关键词
心内膜炎
感染性
流行病学
临床分析
Endocarditis
infective
Epidemiology
Clinical analysis
