亚急性感染性心内膜炎致多发脑梗死一例报道并文献复习  

Multiple Cerebral Infarction Caused by Subacute Infective Endocarditis:Report of One Case and Literature Review

作　　者：张春阳[1] 黄石仁 张敏敏[1] 邓本强[1] ZHANG Chun-yang;HUANG Shi-ren;ZHANG Min-min;DENG Ben-qiang(Cerebrovascular Disease Center,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China)

机构地区：[1]上海市第二军医大学附属长海医院脑血管病中心,200433

出　　处：《中国全科医学》2018年第26期3264-3267,共4页Chinese General Practice

基　　金：上海市科学技术委员会科研计划项目(124119a8900)

摘　　要：感染性心内膜炎(IE)相关脑卒中在临床上较少见,其影像学不典型及临床医师认识不足,造成误诊、漏诊,延误病情,影响治疗效果和预后。本文报道了1例亚急性IE致多发脑梗死患者的临床资料并进行了相关文献复习,以提高临床医师对本病临床症状和体征的认识,减少临床误诊。Infective endocarditis(IE)-related stroke is rare in clinic practice.Due to atypical imaging features and clinicians'lack of sufficient understanding of the disease,erroneous diagnosis or missed diagnosis of IE can be performed,which in turn may delay the opportunities for treatment and support,and the prognosis may be deteriorated.We reported a case of stroke associated with IE and reviewed the relevant studies,in order to improve clinicians'understanding of the clinical symptoms and signs of the disease,by which the probabilities of misdiagnosis will be reduced.

关 键 词：心内膜炎 亚急性细菌性 脑梗死 病例报告 

分 类 号：R542.42[医药卫生—心血管疾病] R743.33[医药卫生—内科学]