感染性心内膜炎急诊外科治疗  

Emergency surgery for infective endocarditis

作　　者：张志刚[1] 龚世菊[1] 李伦明[1] 周新明[1] 

机构地区：[1]江门市中心医院心外科,广东省529000

出　　处：《中国心血管病研究》2013年第9期666-668,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 总结感染性心内膜炎患者的急诊外科手术时机及围手术期处理。方法12名患者因感染性心内膜炎在我科行急诊体外循环下心内直视手术，包括主动脉瓣置换3例、三尖瓣置换4例、三尖瓣修复2例、二尖瓣＋主动脉瓣置换3例。结果所有患者经手术及足疗程抗感染治疗后临床痊愈出院。术后病理证实均为感染性心内膜炎。结论感染性心内膜炎出现药物难以控制的感染或出现急性心功能衰竭内科保守治疗难以纠正心功能时，急诊外科手术治疗能挽救患者生命。Objective To summarize the emergency surgery operation time of patients with infective endocarditis and the perioperation period processing. Methods 12 patients with infective endocarditis in open heart operation under cardiopulmonary bypass in our department of emergency, including aortic valve replacement in 3 cases, three tricuspid valve replacement in 4cases, three tricuspid valve repair in 2 cases, 3 cases of mitral valve and aortic valve replacement. Results All the patients after operation and to evaluate the clinical cured after anti-infective therapy. Postoperative pathology confirmed that all the infective endocarditis. Conclusion Infective endocarditis drug difficult to control infection or department of internal medicine acute heart failure of conservative treatment to correct cardiac function, operation treatment can save the lives of patients in emergency surgery.

关 键 词：感染性心内膜炎 急诊手术 

分 类 号：R542.42[医药卫生—心血管疾病]