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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 and therapeutic effects of infective endocarditis (IE) and to explore the early diagnosis and rational treatment of IE. Methods The clinical data of 51 cases of IE admitted from January 1, 2009 to October 31, 2010 were retrospectively analyzed. The changes of heart disease, blood culture, echocardiography, therapeutic effect and prognosis of IE were analyzed. Results Among the 51 IE patients, the most common pathogens were Staphylococcus (46.88%, 15/32) with no underlying disease (27.45%) and IE (23.50%) after rheumatic valvular disease Genus (28.12%, 9/32). The positive rate of echocardiography was high (80.39%). Surgical treatment was performed in 21 cases (41.18%, 21/51) and 51 cases of CCP death in 5 cases. Conclusion The clinical features of IE have undergone obvious changes. Clinically, it is necessary to raise awareness and cooperate with each other so that the disease can be properly treated and treated.