感染性心内膜炎62例外科治疗分析  

Surgical treatment of infective endocarditis

作　　者：袁忠祥[1] 刘健[1] 王利民[1] 

机构地区：[1]上海市第一人民医院心血管外科,201620

出　　处：《临床外科杂志》2010年第8期541-542,共2页Journal of Clinical Surgery

摘　　要：目的 总结感染性心内膜炎（infective endocarditis,IE）的外科治疗经验.方法 对我院62例IE患者行全麻体外循环下心内直视手术,术中清除感染病灶,行心内畸形纠正和瓣膜置换.结果 本组术中植入生物瓣12例,机械瓣49例,另单独行动脉导管未闭缝合术1例.术后死亡1例,为人工瓣感染心内膜炎后再次换瓣,死于感染性休克和心功能不全.其余患者经过抗炎治疗4～6周后体温平稳出院.术后随访1年,未有复发病例.结论 早期给予足量、有效的抗生素治疗,感染无法控制时及时手术治疗,完善的手术纠治是治疗成功的关键.Objective To summarize the experience in surgical treatment of infective cndocarditis （IE）. Methods Sixty - two IE patients underwent heart surgery under general anesthesia and cardiac - pulmonary bypass. Removal of infective lesions, correction of cardiac abnormalities and valve replacement were completed during the operation. Results Biological valves were implanted in 12 cases and mechanical valves in 49 cases. The early - death occurred in one patient who was given valve surgery because of IE resulting from infected prosthetic valve. The patient died of infective shock and heart failure. Conclusion In the treatment of IE, enough and effective antibiotic therapy should be given at early stage. Surgical treatment should be performed when the infection is out of control.

关 键 词：感染性心内膜炎 外科治疗 

分 类 号：R654.2[医药卫生—外科学]