摘要
目的 :总结感染性心内膜炎 (IE)的临床资料 ,分析误诊情况。方法 :回顾性分析北京协和医院近 10 a收治的 IE6 9例。结果 :误诊 6 3例 ,误诊率为 91.3%。常见误诊病种为上感。先天性主动脉瓣二叶瓣畸形、二尖瓣脱垂及瓣膜退行性变的漏诊为导致 IE误诊的常见原因。UCG在诊断的确立中有举足轻重的地位。导致误诊的最重要原因是对 IE的认识不足。常见误诊治疗为不正规应用抗生素和糖皮质激素。治愈 38例 (5 5 .1% ) ,需手术 2 1例 (30 .4% ) ,死亡 10例(14.5 % )。结论 :IE为误诊率很高的疾病 ,误诊原因有多方面。需提高认识 ,早发现、早治疗 ,最终提高 IE的诊治水平。
Objective:To make a retrospective study of infective endocarditis(IE) and analyse the causes of misdiagnosis and treatment of this disease.Methods:To analyse 69 cases of IE admitted to PUMC hospital from 1990 to May 2000.Results:In total 69 patients with the discharging diagnosis of IE,63 cases were misdiagnosed during the course of the disease,the misdiagnosis rate is 91.3%.The commonest diseases of misdiagnosis was common cold.The neglect of bicuspid aortic valve,mitral valve prolapse and recessive change of valves were the common causes of misdiagnosis.Echocardiography played an important role of the diagnosis of IE.Lack of understanding for IE was the most important reason of misdiagnosis.The common treatment for the misdiagnosed disease were unproper antibiotic and glucocorticoid hormone therapy.After treated in Hospital 38 cases (55.1%) were completely recover,21 cases (30.4%) needed operation,10 cases were dead,the mortality is 14.5%.Conclusion:IE is a disease which could be misdiagnosed often,a number of reasons can lead to the misdiagnosis.In order to improve the diagnosis and treatment of IE,we need to be alert and make the diagnosis as early as poossible,and treat this disease early and properly.
出处
《中国误诊学杂志》
CAS
2001年第1期33-36,共4页
Chinese Journal of Misdiagnostics
关键词
心内膜炎
细菌性
诊断
葡萄球菌感染
误诊
endocarditis,bacterial/diagnosis
staphylococal infections/diagnosis
diagnostic errors
