
[内科] 感染性心内膜炎
Conclusion (1)The abnormality of heart structure accounts for the main basic cause of infective endocarditis.
結論:(1)心髒結構異常是感染性心内膜炎的主要基礎病因;
Objective To analyze the clinical features of patients with infective endocarditis for improving its diagnosis and treatment.
目的分析感染性心内膜炎患者的臨床特徵,以提高對其的診療水平。
Objective To analyze the clinical features of patients with infective endocarditis (IE) for improving its diagnosis and treatment.
目的分析感染性心内膜炎(IE)患者的臨床特徵,以提高對其的診療水平。
Objective To investigate causes, change of pathogenic microorganism, clinical vicissitudes and prognosis in infective endocarditis (IE) to improve the diagnosis and treatment of IE.
目的探讨感染性心内膜炎(IE)的病因、緻病微生物的變化、臨床變遷及預後等因素,提高IE的診治水平。
In this case, the infective endocarditis demonstrates how the infection tends to spread from the valve surface.
感染性心内膜炎顯示了源自瓣膜表面的感染的傳播途徑。
Only 16 cases had infective endocarditis 1.22%.
感染性心内膜炎的病例較少,隻有16例(1.22%)。
Penicillin V potassium is also available as rheumatic fever and infective endocarditis relapse prevention medication, can be used for spirochete infection.
青黴素V鉀也可作為風濕熱複發和感染性心内膜炎的預防用藥,亦可用于螺旋體感染。
Methods The echocardiographic features were analyzed in 11 patients with infective endocarditis, and were compared with the operative findings.
方法總結11例經手術證實的感染性心内膜炎術前超聲心動圖資料,并與術中資料進行對比。
On April 19, 2007 the American Heart Association (AHA) published its updated recommendations for the prevention of infective endocarditis in heart patients scheduled to undergo dental procedures.
2007年4月19日,美國心髒病協會發布了最新的針對已安排行牙科操作的患者預防感染性心内膜炎措施。
There are many pathogenic microorganisms that could lead to infective endocarditis, of which Staphylococcus aureus is commonly seen.
導緻感染性心内膜炎的病原微生物很多,金黃色葡萄球菌是最常見的緻病菌。
Objective:To summarize the experience of 27 surgical treated cardiac valve lesions due to primary infective endocarditis(PIE).
目的:總結原發性感染性心内膜炎(PIE)緻瓣膜損害的外科治療經驗。
The more virulent bacteria causing the acute bacterial form of infective endocarditis can lead to serious destruction, as shown here in the aortic valve.
主動脈瓣示,毒力強的細菌可引發急性感染性心内膜炎,從而導緻心髒嚴重損壞。
Conclusion:UCG examinations may be an important method for clinically diagnosing infective endocarditis. For diagnosed patients should control the infections and take operation as soon as possible.
結論:超聲心動圖檢查可作為臨床上診斷确實感染性心内膜炎的重要依據,對已診斷确實的患者應努力節制感染并盡早手術。
Such small defects do not produce significant left-to-right shunting, but they do increase the risk for infective endocarditis.
雖然這種小缺損不足以導緻從左到右的分流,但增大了感染性心 内膜 炎的危險性。
Objective: To summarize the experiences of differentiation of symptoms of professor Sun Jianzhi about subacute infective endocarditis.
目的:總結孫建芝教授辨治亞急性感染性心包炎臨床經驗。
Conclusion Low mortality occurs in the surgical therapy for infective endocarditis.
結論:外科治療感染性心内膜炎的死亡率低。
Objective To discuss the pathogenesis, etiology, clinical manifestations, diagnosis, treatment and prognosis of right-sided infective endocarditis (RIE).
目的對右心感染性心内膜炎(RIE)的發病機制、病原學、臨床特點、診斷、治療和預後等方面進行讨論。
CONCLUSIONS The result showed that the enteroviral infection took an important role in the pathogenesis of infective endocarditis.
結論:感染性心内膜炎的發病與腸道病毒感染有一定關系。
Background— Infective endocarditis in children is rare, and most reports describe the experience in referral centers.
研究背景——兒童感染性心内膜炎罕見,而且大部分報道僅描述了患者轉診中心的經曆。
To retrospectively evaluate the perioperative nursing experience of 15 patients of acute infective endocarditis.
本文回顧性分析15例急性感染性心内膜炎病人圍手術期的護理體會和總結。
Patients with infective endocarditis have been reported to present with either ruptured sinus of valsalva or complete atrioventricular block.
曾有文獻報告過細菌性心内膜炎患者并發主動脈窦破裂或是完全房室傳導阻滞。
The complication was listed as follow :atrial fibrillation , heart failure , other arrhythmia, thrombosis, infective endocarditis.
并發症依次為心房纖顫、心力衰竭、其它心律失常、栓塞、感染性心内膜炎。
Here is a valve with infective endocarditis. The blue bacterial colonies on the lower left are extending into the pink connective tissue of the valve.
感染性心内膜炎瓣膜,左下方的藍色菌落正向瓣膜的淡紅色結締組織蔓延。
感染性心内膜炎(Infective Endocarditis)是心内膜的微生物感染性疾病,主要累及心髒瓣膜,也可發生于人工瓣膜或心内植入器械表面。該疾病由細菌、真菌或其他病原體經血流侵襲心内膜引起,典型病理特征為贅生物形成。
根據美國心髒協會(AHA)臨床指南,感染性心内膜炎的緻病菌中,鍊球菌屬約占60%(包括草綠色鍊球菌),葡萄球菌屬約占25%(以金黃色葡萄球菌為主)。臨床表現包括持續性發熱(38-40℃)、心髒雜音變化、瘀點皮疹及栓塞事件。診斷依據改良Duke标準,需結合血培養、超聲心動圖檢查結果。
歐洲心髒病學會(ESC)2023年治療指南推薦:經驗性抗生素治療首選青黴素類聯合氨基糖苷類,對于耐甲氧西林金黃色葡萄球菌(MRSA)感染應選用萬古黴素。嚴重瓣膜損害者需行外科瓣膜修複或置換手術,手術時機建議在抗生素治療1-2周後進行。
該疾病的高危人群包括:人工心髒瓣膜置換者、既往感染性心内膜炎病史患者、先天性心髒病未糾正者及靜脈藥瘾者。預防措施強調口腔操作前的抗生素預防性使用,特别是涉及牙龈或根尖周組織的外科操作時。
感染性心内膜炎(Infective Endocarditis,簡稱IE)是微生物感染引發的心髒内膜炎症性疾病,主要特征如下:
指由細菌、真菌或其他微生物(如病毒、立克次體等)直接侵襲心内膜,尤其是心髒瓣膜,形成含有病原體和血小闆的贅生物的炎症性疾病。其英文術語中:
類型 | 病程 | 常見病原體 | 特點 |
---|---|---|---|
急性 | 數天 | 金黃色葡萄球菌 | 進展快,贅生物大且易脫落 |
亞急性 | 數周-月 | 草綠色鍊球菌 | 症狀隱匿,原有心髒基礎病多見 |
60歲以上老年人、男性、心髒瓣膜病變者或人工瓣膜植入者發病率較高。
注:如需了解診斷标準或治療方案,可查閱醫學專業指南(參考來源:、8、3、7)。
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