摘要
目的 对 30例人工瓣膜感染性心内膜炎患者进行临床分析 ,重点讨论防治问题。方法 全组 30例患者中男性 15例 ,女性 15例。年龄 19～ 5 6岁 ,平均 36岁。人工瓣膜感染性心内膜 (PVE)的发生率为 2 .8% ,其中二尖瓣 (MV)、主动脉瓣 (AV)及双瓣 (DV)的PVE发生率各为 2 .2 %、4.3%及 4.2 3%。单纯内科疗法 2 2例 ;内外科联合疗法 8例。结果 内科疗法病死率 86 % ;内外科疗法病死率 12 .5 %。结论 内外科疗法效果优于单纯内科疗法。
Objective This paper present a clinical analysis of 30 prosthetic valve endocarditis (PVE) patients operated between september, 1979 and December, 2000. Methods Among 15 male and 15 female patients (age 19～56 years; mean 36 years) the incidence of PVE was 2.8%, being 2.2%, 4.3%, 4.23% in MV (mitral valve), AV (aortic valve), DV( double valve), respectively. Results Twenty two patients with medical treatment had a mortality rate of 86%, while 8 had combined medical and surgical treatment had an operative mortality of 12.5%. Conclusion Combined medical surgical treatment for PVE gave a better result than medical treatment alone.
出处
《上海医学》
CAS
CSCD
北大核心
2002年第1期33-35,共3页
Shanghai Medical Journal
关键词
人工瓣膜
感染性心内膜炎
内外科联合治疗
赘生物
Prosthetic valve endocarditis
Infective endocarditis
Combined medical surgical treatment
Vegetative
