摘要
目的 :总结原发性感染性心内膜炎 (PIE)致瓣膜损害的外科治疗经验。方法 :本组 2 7例 ,主动脉瓣置换术 17例 ,二尖瓣置换术 8例 ,双瓣置换术 2例 ;同期行肺动脉瓣及三尖瓣病灶清除术 1例 ;所用人工瓣膜均为机械瓣。结果 :术后早期死亡 3例 (病死率 11.1% ) ;随访 15例 (随访率 6 2 .5 % )、随诊时间 3～ 79个月 (平均 37.2个月 ) ,1例术后超声心动图证实存在二尖瓣瓣周漏 ,其余病例情况良好。结论 :PIE致瓣膜损害时应积极手术治疗 ;进行性充血性心力衰竭和感染不能控制时 。
Objective:To summarize the experience of 27 surgical treated cardiac valve lesions due to primary infective endocarditis(PIE).Methods:Surgical intervention was performed including aortic valve replacement (AVR) in 16,mitral valve replacement (MVR) in 8,combined AVR and MVR in 2,AVR + debridement of tricuspid and pulmonary valve in 1.The all valves of implantation were mechanical. Results The operative mortality was 11.1%.15 cases were followed up with a follow up rate of 62.5%.The duration of follow up was 3～79 monthes (mean 37.2 monthes).Doppler echocardiogram revealved postoperatively paravalvular leakage in one patient.The condition of other 14 cases is well.Conclusion:Cardiac valve lesions caused by PIE should be treated surgically.Urgent surgical intervention can achieve good results in PIE patient with progressive congestive heart failure and uncontrolled infection.
出处
《实用临床医学（江西）》
CAS
2002年第4期17-19,共3页
Practical Clinical Medicine
关键词
原发性感染性心内膜炎
瓣膜损害
外科治疗
primary infective endocarditis
cardiac valve lesion
surgical treatmen
