摘要
目的 探讨单纯抗生素治疗和抗生素联合外科干预治疗并发心力衰竭的感染性心内膜炎 ( IE)的治疗效果。方法 回顾性分析接受抗生素联合外科干预治疗组 ( 14例患者 )和接受单纯抗生素治疗组 ( 4 2例患者 )的治愈率和死亡率。结果 抗生素联合外科干预治疗组与单纯抗生素治疗组的治愈率分别为 92 .8%及 3 5 .7% ,两者之间有显著差异 ( P<0 .0 0 1) ;死亡率分别为 7.2 %和 64 .3 % ,也有显著差异 ( P<0 .0 0 1)。结论 相对于单纯抗生素治疗并发心力衰竭的 IE,应用抗生素联合外科干预治疗 。
Objective To observate the effects of antibiotic therapy alone(ATA)and antibiotic treatment combined with surgical intervention(ATCWSI)on infective endocarditis(IE)complicated with heart failure.Methods 42 ATA patients and 14 ATCWSI patients were retrospectively calculated their cure rates and mortality rates.Results The cure rate in ATCWSI group was 92.8%,significantly higher than that in ATA group(35.7%, P <0.001),and the mortality rate in ACWSI group was 7.2%,significantly lower than that in ATA group(64.2%, P <0.001).Conclusion ATCWSI should be paid more attention in the treatment effect.
出处
《中国心血管杂志》
2003年第3期174-175,192,共3页
Chinese Journal of Cardiovascular Medicine
关键词
感染性心内膜炎
心力衰竭
单纯抗生素治疗
抗生素联合外科干预治疗
Infective endocarditis
Heart failure
Antibiotic therapy alone
Antibiotic treatment combined with surgical intervention