摘要
目的分析超声心动图鉴别诊断先天性心脏病(CHD)合并感染性心内膜炎(IE)的临床价值。方法选取2014年1月至2016年1月我院收治的患有CHD合并IE的60例患者作为研究对象,回顾性分析患者超声检查结果并与临床最终的确诊结果进行比较。结果在60例CHD合并IE患者中,经超声心动图检查检出58例患者存在赘生物,检出率高达96.67%,主要分布在主动脉瓣(53.45%)、肺动脉瓣(13.79%)、肺动脉外侧瓣(17.24%)、三尖瓣(12.07%)及左室流出道(3.45%);超声检出的IE赘生物平均直径为(17.22±3.01)mm,由其所引发的并发症主要包括心包积液、瓣周脓肿、连枷运动、瓣膜垂落及瓣膜穿孔等,以心包积液的发生率最高。结论通过超声心动图对先天性心脏病合并感染性心内膜炎进行鉴别诊断,检出率高,可为临床提供较准确的诊断依据,值得临床推广应用。
Objective To analyze the clinical value of echocardiography in the differential diagnosis of congenital heart disease（CHD） complicated with infective endocarditis（IE）. Methods From January 2014 to January 2016, sixty patients with CHD complicated with IE were selected as the study objects, the ultrasonographic findings of the patients were retro-spectively analyzed and compared with the final diagnosis results. Results In 60 cases of CHD complicated with IE pa tients, there were 58 cases of patients with vegetations detected by echocardiography, the detection rate was 96.67%,mainly distributed in the aortic valve（53.45%）, pulmonary valve（13.79%）, pulmonary artery lateral flap（17.24%）, three tricuspid valve（12.07%） and the left ventricular outflow tract（3.45%）. The mean diameter of IE vegetations detected by echocardiography was（17.22 ±3.01） mm, and the complications included pericardial effusion, paravalvular abscess, flail motion, valvular drop and valvular perforation, and the incidence of pericardial effusion was the highest. Conclusion The echocardiography used for differential diagnosis of CHD complicated with IE has high detection rate, which can provide a more accurate diagnosis basis for clinical application and is worthy of clinical application.
出处
《临床医学研究与实践》
2017年第31期138-140,共3页
Clinical Research and Practice
关键词
先天性心脏病
感染性心内膜炎
超声心动图
congenital heart disease(CHD)
infective endocarditis(IE)
echocardiography
