感染性心内膜炎患者超声心动图的诊断  

Effect of echocardiography on diagnosis of patients with infective endocarditis

作　　者：张兰莉[1] 郑广[1] 姜敏[1] 关守琨[1] 

机构地区：[1]齐齐哈尔医学院附属第三院超声科,黑龙江齐齐哈尔161002

出　　处：《中华医院感染学杂志》2014年第10期2480-2482,共3页Chinese Journal of Nosocomiology

基　　金：齐齐哈尔市科技局基金项目(9232011Y0800-05)

摘　　要：目的探讨用超声心动图对感染性心内膜炎患者进行诊断的效果和临床应用价值。方法选取2012年7月-2013年2月在医院进行治疗的90例感染性心内膜炎患者进行试验，所有患者在住院后均进行超声心动图检查和手术病理检查，并对试验过程中的检查结果进行比较分析。结果急诊患者手术成功率较低，为83．33％，而根据患者的具体状况合理选择手术时间的成功率较高，为98．81％，两组比较差异有统计学意义（P〈O．05）；大部分患者体内赘生物的直径2～15mm，占88．10％，患者体内赘生物数量一般≤3个，占90．47％，≥3个的比例仅占9．52％；对患者用超声心动图检查与手术结果进行比较，患者的瓣膜脱垂、瓣周漏、主动脉瓣，二尖瓣检测的阳性符合率均〉90．00％，而对瓣膜穿孔检测的阳性符合率较低，为25．00％。结论超声心动图检查能够对感染性心内膜炎患者的心脏内赘生物进行定位，并能够确定赘生物的大小以及数目等，能够给患者提供准确的诊断依据，具有重要应用价值。OBJECTIVE To explore the effect of echocardiography on diagnosis of patients with infective endocardi- tis and analyze the value of clinical application. METItODS The clinical trial was performed for 90 patients with in- fective endocarditis who were treated in the hospital from Jul 2012 to Feb 2013, then all the patients underwent the echocardiography and pathological examination after the hospitalization, and the result of the clinical trial was ana- lyzed and compared between the two groups. RESULTS The success rate of emergency surgery was low （83.33%）, but the success rate of reasonable selection o{ operation time based on the specific condition was high （98.81%）, the difference between the two groups was significant（P%0.05）. The patients with the diameter of neoplasm ranging between 2 and 15ram accounted for 88.10% ; the patients with the number of body excrescence no more than 3 accounted for 90. 47%, while the patients with the number of body excrescence no less than 3 accounted for 9.52%. As compared with the result of surgery of the patients who underwent the echocardiography, the positive accordance rates of valvular pro- lapse, paravalvular leakage, aortic valve, and mitral valve of the patients were more than 90.00%, but the positive ac- cordance rate of the valvular perforation was low （25.00%）. CONCLUSION The echocardiography can locate the int- racardiac neoplasms in the patients with infective endocarditis, determine the size and number of the neoplasms, and provide basis for accurate diagnosis, it has significant application value.

关 键 词：超声心动图 感染性心内膜炎 诊断价值 

分 类 号：R542.41[医药卫生—心血管疾病]