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对小儿感染性心内膜炎 ( IE) 8例进行分析 ,结果 7例有先天性心脏病 (先心病 ) ,8例有不规则发热 ,进行性贫血及肝脾肿大各 5例 ,心脏杂音有动态变化 1例 ,血培养阳性 3例 ,心脏瓣膜赘生物 7例。小儿 IE多发生于先心病基础上 ,亦可发生于无先心病患儿。长期不规则发热、进行性贫血、肝脾肿大为最常见症状 ,先心病患儿凡有以上症状 ,应用抗生素治疗体温反复升高者应考虑 IE可能 ,及时多次血培养有助于 IE诊断。反复超声心动图检查 ,有利于发现赘生物。IE一旦确诊应积极抗感染治疗 ,较大赘生物 ,尤赘生物 >1 0 mm者应在抗生素保护下及时手术治疗 ,可提高治愈率
8 cases of children with infective endocarditis (IE) were analyzed, the results of 7 cases of congenital heart disease (CHD), 8 cases of irregular fever, progressive anemia and hepatosplenomegaly in 5 cases, heart murmur There are 1 cases of dynamic changes, blood culture positive in 3 cases, 7 cases of heart valve neoplasm. Occurs in children with IE on the basis of congenital heart disease, can also occur in children without congenital heart disease. Long-term irregular fever, progressive anemia, hepatosplenomegaly is the most common symptoms, congenital heart disease in children who have the above symptoms, the application of antibiotics to treat elevated body temperature should be considered IE may be, timely and multiple blood cultures contribute to IE diagnosis . Repeated echocardiography, is conducive to the discovery of vegetation. Once the diagnosis of IE should be actively anti-infective treatment, larger neoplasms, especially neoplasm> 10 mm should be timely surgical treatment under the protection of antibiotics, can improve the cure rate