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感染性心内膜炎的临床表现与超声心动图诊断 被引量:4

Clinical features and echocardiographic findings of the patients with infective endocardittis
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摘要 对40例感染性心内膜炎(IE)患者的临床资料进行分析,结果显示,采用超声心动图检查能检出瓣膜赘生物者38例(95%),血培养阳性者仅8例(20%),发热和栓塞的发生率分别为55%和30%。瓣膜赘生物多发生于左心系统(37例),尤以主动脉瓣多见(22例)。8例血培养阳性者以金黄色葡萄球菌多见(3例),草绿色链球菌已降为从属地位(1例)。瓣膜返流、心力衰竭和栓塞是1E最常见的并发症。 The clinical informations of 40 patients with infective endocardittis were analysed. The results showed:In 38 cases(95%) the valvular vegetation could be detected by echocardiography, but only in 8 cases (20% )the blood bacterial culture was positive. The incidences of fever and embolism were 55% and 30%,respectively. In this group of patient. most of valvar vegetations were seen in left heart (37/38),especially in aortic valve(22/38). Among 8 cases with Positive blood culture,staphylococcus anreus was seen in 3 cases,but streptococcus viridans only in 1 case. The most common complications in this group of patient were valvular regurgitation,heart failure and embolism.
作者 冼惠珍
出处 《临床心血管病杂志》 CAS CSCD 北大核心 1998年第2期108-110,共3页 Journal of Clinical Cardiology
关键词 感染性 心内膜炎 超声心动图 Infective endocardittis Echocardiography
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参考文献3

  • 1毛焕元,心脏病学,1995年,899页 被引量:1
  • 2戴自英,实用内科学(第9版),1992年,1199页 被引量:1
  • 3李进禧,中华心血管病杂志,1989年,17卷,244页 被引量:1

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