静脉吸毒者感染性心内膜炎的临床分析  

Clinical analysis on the infectious endocarditis caused by venous narcotic taking

作　　者：徐国帆[1] 叶海鹏[1] 陈聪[1] 陈杰山[1] 梁岩[1] 

机构地区：[1]茂名市人民医院心内科,广东茂名525000

出　　处：《岭南心血管病杂志》2006年第4期287-288,共2页South China Journal of Cardiovascular Diseases

摘　　要：目的分析静脉吸毒者感染性心内膜炎的临床特征及诊疗要点。方法回顾性分析我院收治的静脉吸毒所致的感染性心膜内膜炎患者12例的临床资料。结果所有患者均有发热、咳嗽、气促等症状。X线胸片均提示有肺部感染。心脏彩超均发现心内赘生物。11例经抗菌治疗后好转出院,1例死亡。结论静脉吸毒者感染性心膜炎经积极抗菌治疗大多预后良好。但瓣膜损害、严重者可导致死亡,应尽早手术治疗。Objectives To analyze the clinical characters and main points in diagnosis and treatment of infectious endocarditis （IE） being caused by venous narcotic taking. Methods A retrospective analysis was made on the clinical material of 12 cases of IE patients who were caused by venous narcotic taking and hospitalized in our hospital. Results All of the patients had the symptoms like fever, cough and short breath, chest X-ray films showed that there was infection in the lungs. The endocardial vegetations were found by cardiac color ultrasonography. 11 cases were cured after the antibacterial treatment and 1 case was dead. Conclusions For the IE patients caused by venous narcotic taking, most of them have good prognosis after the active antibacterial treatment, but for the patients who have valvular damage, the severe ones will be dead and the early operation is necessary.

关 键 词：静脉吸毒 细菌性心内膜炎 

分 类 号：R542.42[医药卫生—心血管疾病]