外科手术治疗感染性心内膜炎104例临床分析

目的探讨感染性心内膜炎（IE）的外科手术治疗效果及围术期处理原则。方法分析104例经外科手术治疗的IE患者的临床资料，并对治疗效果与转归进行评价。结果术后早期死亡4例，2例为低心排综合征，1例为肾功能衰竭，1例为人工瓣膜炎。随访89例，随访时间1-112w，无心内膜炎复发，心功能恢复至工级66例，Ⅱ级23例。结论外科手术是治疗IE的有效手段，充分的术前准备、准确地把握手术时机和手术原则，以及完善的术后处理是提高手术成功率的关键。

Clinical analysis of infectious endocarditis patients with surgery

Objectives To investigating surgery principle and perioperative management of infectious endocarditis （IE）. Methods 104 patients with IE patients underwent cardiac surgery were retrospectively analyzed. Results 4 patients died of low cardiac output syndrome （2 cases）, acute renal failure （1 case） and prosthetic valve inflammation（1 case）. 89 patients were followed-up for 1-112 months without recurrence. Postoperative cardiac function （NYHA） of 66 patients recovered to grade Ⅰ and 23 patients to grade Ⅱ. Conclusions It is effective to treat IE with surgery whose keys are preoperative preparation, surgery opportunity and postoperative management.