感染性心内膜炎32例临床分析  

Clinical Analysis of 32 Cases with Infective Endocarditis

作　　者：章文龙[1] 李勇生[1] 杨文东[1] 魏崴[1] 

机构地区：[1]广东省惠州市中心人民医院心胸外科,广东惠州516001

出　　处：《中国现代医生》2009年第15期38-40,共3页China Modern Doctor

摘　　要：目的通过回顾性对照分析感染性心内膜炎(IE)外科治疗组与内科治疗组的临床表现、辅助检查、治疗方案等,探讨IE单纯内科治疗和内科结合积极的外科治疗两者疗效的差异。方法将32例IE患者分为外科治疗组(n=15)和内科治疗组(n=17),对比观察两组一般资料、临床表现、辅助检查、治疗方法。结果内科治疗组和外科治疗组住院时间无显著性差异(P>0.05),但在住院期间发热时间、治疗结果、远期随访结果方面外科治疗组较内科治疗组有显著性差异(P<0.05)。结论在抗感染治疗的同时,对手术治疗应采取积极态度,适时手术行内外科联合治疗是治疗成功的关键。Objective Retrospectively analyzed on infective endocarditis whether antibiotic therapy has advantages or surgical therapy. Methods A total of 32 patients with IE were divided into 2 groups： 17 cases consisted of antibiotic therapy group and 15 cases consisted of surgical therapy group. General objections, clinical manifestation,laboratory investigation,therapeutic efficacy were analyzed. Results There were no significant differences in hospitalization stay time between 2 groups. There were significant differences in fever time（in the course of hospitalization stay time ）,therapeutic results ,follow-up between 2 groups. Conclusion Aggressive medical therapy combined with well-timed surgical therapy are necessary.

关 键 词：心内膜炎 内科治疗 外科治疗 回顾性分析 

分 类 号：R542.4[医药卫生—心血管疾病]