摘要
分析经手术证实的１２例先天性心脏畸形并发右心系统感染性心内膜炎的临床及超声资料，认为该种无创性检查可作为感染性心内膜炎的主要诊断方法。讨论了误诊和漏诊的原因以及如何提高右心系统感染性心内膜炎的检出率。
he clinical and echocardiographic data of twelve patients suffering from congenital heartdisease(CHD)and with complications of right-sided infective endocarditis(RSIE)were analyzed. All cases were confirmed by operation and pathology. The diagnostic value of two-dimen-sional and Doppler echocardiography for RSIE was investigated. The diagnostic concordance ratewas 75%. The rates of missed diagnosis and misdiagnosis were 16.7%and 8.3%respectively.The present data suggest that in CHD with complications of infective endocarditis(IE)the infec-tive foci are almost located in the right heart. Echocaridography is an accessible, useful andharmless method fOr evaluating suspected IE. The paper analyzed the cases of missed diagnosisand misdiagnosis. The detection rate of how the way to improve echocardiographic detection ofvegetation and valvular damage of infective endocarditis was also discussed.
出处
《湖南医科大学学报》
CSCD
1996年第5期422-424,共3页
Bulletin of Hunan Medical University
关键词
感染性
心内膜炎
先天性心脏病
超声心动图
infective endocarditis
congenital heart disease
vegetation
two-dimen-sional and Doppler echocardiogaphy
