摘要
目的分析感染性心内膜炎(IE)患者临床特征及疗效,探讨IE的早期诊断及合理治疗。方法回顾性分析2009年1月1日至2010年10月31日收治的51例IE病例的临床资料,分析IE患者的心脏基础疾病情况、血培养、超声心动图改变及治疗效果、预后等。结果 51例IE患者中以无基础疾病(27.45%)及风湿性瓣膜病变后IE(23.50%)最为多见,感染病原体以葡萄球菌属多见(46.88%,15/32),次为链球菌属(28.12%,9/32)。超声心动图检查阳性率高(80.39%),手术治疗21例(41.18%,21/51),51例中共死亡5例。结论 IE的临床特征发生了明显变化,临床需提高认识,多学科合作,使疾病得到恰当治疗处理。
Objective To analyze the clinical features of infective endocarditis（IE） and help in early diagnosis and treatment.Method A retrospective analysis was performed on the clinical profiles of 51 cases comfirmed as IE from 20009.1.1 to 2010.10.31.The clinical profiles included underlying cardiac diseases,blood culture results,echocardiographic manifestations as well as clinical outcomes.Result Of the 51 patients,14（27.45%） had no underlying cardiac diseases,exceeding those（23.50%） who had previous rheumatic valvular disease.The predominat causative organism was Staphylococci（46.88%,15/32） and the second most prevalent pathogen was Streptococcus（28.12%,9/32）.Echocardiographic evaluation showed a high positive rate（80.39%）.21 patients underwent surgical treatments.5 cases of death occurred in the 51 cases.Conclusion The clinical characteristics of IE has greatly changed.The management of IE requires multidisciplinary cooperation.Clinicians and surgeons shall cooperate to manage the disease.
出处
《中国微生态学杂志》
CAS
CSCD
2011年第5期453-455,共3页
Chinese Journal of Microecology
关键词
感染性心内膜炎
临床特征
血培养
超声心动图
Infective endocarditis
Clinical feature
Blood culture
Echocardiography
