摘要
目的为探讨感染性心内膜炎(IE)临床和超声心动图的特点及诊断价值。方法对63例IE患者的临床资料 ,结合超声心动图检查进行综合分析。结果63例IE患者有基础心脏病者57例 ,其临床表现 :发热58例(90 1%)、脾肿大38例(60 3 %)、栓塞12例(19 1 %)。51例作血培养 ,11例培养阳性 ,占21 6 %(11/51)。超声心动图检查 ,发现赘生物28例 ,占44 4 %(28/63) ,死亡3例 ,占4 8 %(3/63)。结论IE患者典型的临床表现、血培养阳性减少 ,给早期诊断带来一定困难 ,结合超声心动图检查 ,对IE不仅可提供病因、病理诊断 ,而且能对其并发症及预后作判断 ,有较高的应用价值。
Objective:To study the clinical character of infective endocarditis(IE) and the diagnostic value of echocardiography to IE.Methods:The clinical and echocardiographic information of 63 patients was analysed.Results:Basic heart diseases in 57 patients(90.5%)and vegetations in 28 patients(44.4%) were found.A total of 51 blood bacterial culture studies were porformed,and positive only in 11 cases(21.6%).The incidence of fever,enlarged spleen,embolism and death was 90.1%,60.3%,19.1%,and 4.8%respectively.Conclusion:The decrease of positive blood culture and lack of typical symptoms make it difficult to diagnose IE and then delay treatment.Echocardiography can provide etiological and pathological diagnose for IE.As a valubal tool,it can also assess the complications and prognosis.[
出处
《井冈山医专学报》
2000年第3期6-6,28,共2页
Journal of Jinggangshan Medical College
