摘要
目的：探讨金黄色葡萄球菌（金葡菌）性右心感染性心内膜炎（ＲＨＩＥ）的临床表现特点和诊治。方法：对２１例病人进行临床资料分析。结果：本组病人均有静脉注射毒品史，临床表现为金葡菌血症和肺栓塞，肺部症状表现突出，（ＵＣＧ）示均有右心内膜赘生物。经４～６周抗炎治疗，１９例痊愈。结论：临床有静脉滥用药物史、金葡菌败血症和肺栓塞，必须考虑ＲＨＩＥ，ＵＣＧ对确诊ＲＨＩＥ起决定性作用。经有效抗生素的系统治疗。
Objective: To investigate the clinical manifestations, diagnosis and treatment of right heart infective endocarditis (RHIE) caused by staphylococcus aureus (S aureus ) Method: The clinical data of 21 cases with RHIE of caused by S aureus were analysed Results: All patients had history of intravenous drug abuse, clinical manifestations of septicaemia and pulmonary emboli caused by S aureus UCG revealed that they had right heart endocardiac vegatations After undergoing antibiotic therapy for 4～6 weeks, 19 cases were cured Conclusion: If a patient has the triad of intravenous drug addiction, staphylococcus septicaemia and pulmonary emboli, clinicians should not neglect the possible existence of RHIE UCG plays an important role in the diagnosis of RHIE Generally the prognosis is good after effective course of antibiotic therapy is given
出处
《新医学》
1999年第1期15-16,共2页
Journal of New Medicine
