论文部分内容阅读
感染性心内膜炎(IE)的临床新特点包括:①IE发生于风心病者减少(51.2％),而无基础心脏病IE者增加(11.9％);②IE累及主动脉瓣者居多(6 8.7％);③临床表现中,肝大(75.3％)、发热(74.3％)、贫血(71.3％)最重要,脾大(32.3％)、栓塞(28.3％)、瘀点(21.0％)、杵状指(趾)(18.6％)明显减少,Osler小结(3.2％)和Janeway结节(1.1％)已罕见;④血培养阳性率显著下降(36.7％),金黄色葡萄球菌感染已居首位(31.3％);⑤二维超声心动图之赘生物的检出率可达61.5％。
New clinical features of infective endocarditis (IE) included: (1) a decrease in IE occurred in rheumatic heart disease (51.2%), an increase in IE without underlying heart disease (11.9%); and a greater prevalence of IE involvement in aortic valve %); ③ In clinical manifestations, the most important were hepatomegaly (75.3%), fever (74.3%) and anemia (71.3%), splenomegaly (32.3%), embolism (28.3%), petechia Osler (3.2%) and Janeway nodules (1.1%) were rare; ④ The positive rate of blood culture decreased significantly (36.7%), and the infection of Staphylococcus aureus was the highest (31.3%); ⑤ two-dimensional echocardiography neoplasms detection rate up to 61.5%.