| 感染性心内膜炎的外科治疗 |
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| 引用本文： | 洪萍,张红,李儒正.感染性心内膜炎的外科治疗[J].现代预防医学,2011,38(17):3619-3620. |
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| 作者姓名： | 洪萍 张红 李儒正 |
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| 作者单位： | 海南省人民医院心外科,海口,570311 |
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| 摘 要： | 目的]分析感染性心内膜炎特点,外科手术前后心律失常和肺动脉高压的变化,探讨本地感染性心内膜炎的病因及手术的疗效。方法]回顾性分析2007年3月～2010年12月海南省人民医院心外科感染性心膜炎病人30例,手术28例,23例术前诊断为IE,18例术前彩超发现有赘生物(其中1例为右位心),5例术前诊断风湿性心脏病术中发现有赘生物经病理检查而确诊。急诊手术4例,择期手术24例,术前肺动脉高压13例,心律失常7例。结果]28例手术,术后随诊1～36个月,术后心律失常减少到3例,1例轻度肺动脉高压。仅1例在术后出现瓣周漏,1例感染复发。结论]感染性内膜炎在本地区多发生在风湿性心脏病基础上,以二尖瓣病变为主;手术治疗对肺动脉高压有显著性下降,急性心功能衰竭感染控制不好时应及时手术治疗。
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| 关 键 词： | 感染性心内膜炎 外科手术 肺动脉高压 心律失常 |
SURGERY TREATMENT ON INFECTIVE ENDOCARDITIS |
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| HONG Ping,ZHANG Hong,LI Ru-zheng.SURGERY TREATMENT ON INFECTIVE ENDOCARDITIS[J].Modern Preventive Medicine,2011,38(17):3619-3620. |
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| Authors: | HONG Ping ZHANG Hong LI Ru-zheng |
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| Institution: | HONG Ping,ZHANG Hong,LI Ru-zheng.(Hainan Province People's Hospital,Haikou 570311,China) |
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| Abstract: | Objective]To investigate the features of infective endocarditis(IE)and evaluate the changes of arrhythmia and pulmonary hypertension after surgical therapy,to discuss the causes and efficacy of IE.Methods]Data of 30 IE cases(2007.3-2010.12),hospitalized in the Cardial Surgery Department of Hainan Provincial People's Hospital,were retrospectively analyzed,28 of which were surgical cases.23 cases were diagnosed as IE preoperatively.18 cases were detected vegetation positive by color doppler echocardiography... |
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| Keywords: | Infective endocarditis Surgery Pulmonary hypertension Arrhythmia |
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