摘要
目的探讨静脉药瘾并发感染性心内膜炎（infective endocarditis IE）的特征。方法回顾分析11例静脉药瘾并发IE的，临床资料。结果静脉药瘾并发IE者多为青年男性，男女比例10：1，平均年龄26岁，无基础心脏病。临床特点起病为发热，体温38-40℃，为不规则发热，全身乏力，面色苍白，咳嗽气促，合并肺感染（91％）；血细菌培养阳性以金黄色葡萄球菌多见（45.3％）；超声心动图显示右心系统感染（三尖瓣受累）最为常见（81％），其次二尖瓣（18％）。结论静脉药瘾并发IE者临床特征为发热、咳嗽、气促，心脏杂音，血细菌培养阳性合并肺感染，超声心动图检查对右心感染有重要价值。
Objective To probe the feature of patients with vein drug addiction and infective endocarditis（IE）. Methods The data of 11 drug addicts with IE was analyzed retrospectively. Resuilts Most of the vein drug addicts with IE were young male. The proportion of female and male was 10： 1, the average age was 26, no basic heart disease; Clinical features were irregular fever at the beginning, the temperature was 38℃-40℃, inertia, looking pale, panting, coughing, pulmonary infection （91%, 10/11 ）. Blood germiculture showed that Staphylococcus aureus was the most （45.3 %, 5/11 ）, echocardiogram shows the infection of tricuspid valve was most （81%, 9/11）, the second was mitral valve （18 %, 2/11）. Conclusions The clinical features of drug addicts with IE are： fever, inertia, panting, coughing, cardiac souffle, positive of blood germiculture and pulmonary infection. Echocardiogram is important to diagnosing the infection of tricuspid valve.
出处
《实用全科医学》
2006年第1期35-36,共2页
Applied Journal Of General Practice
关键词
静脉药瘾
右心内膜炎
Vein drug addiction
Right endocarditis
