摘要
感染性心内膜炎(IE)在婴儿及儿童病死率高,临床表现不典型患者较多,早期诊断及治疗较困难。我院自1970～1992年经内科治疗23例感染性心内膜炎,其中15例为尸检证实,结合文献对本病临床表现作一分析及诊断探索。
An analysis of clinical manifestation and diagnosis in 23 children with infective endocarditis is reparted in this paper, and among them, The autopsy were perforrmed in 15. The results were showed that the age of onset was young, and the 3/5 of the cases were under 6 years of age; 7 were nonprimary hear disease the primary hear disease occurred in 16. 22 of the 13 cases had fever, both anemia and heart failure ocurred in 17. The duration of the disease from onset to diagnosis was short, 19 cases less than 3 months, positive rate of blood culture was low, 6 of the 13 cases had positive results. The detecting rate of UCG was high, 7 in the 8 cases were found vegetations, It was indicated that if the children with primary heart disease had infective manifestations of unknown origin, or the cases of nonprimary heart disease their infective or septicemic manifestations and persisting heart failure appeared, they would be the cases of the infective endocarditis, and blood culture and UCG would be performed. It also indicated that if the patients with infective endocarditis, had a big vegetation on aortic valves or multiple vegetations in a single valve or invading more than 2 valves multiple vegetation in a single valves or invading more than 2 valves, the prognosis would be warse.
出处
《广东医学》
CAS
CSCD
1994年第6期364-365,367,共3页
Guangdong Medical Journal
