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二尖瓣脱垂与感染性心内膜炎
引用本文:杨莉 谷小鸣. 二尖瓣脱垂与感染性心内膜炎[J]. 中华内科杂志, 1997, 36(12): 802-804
作者姓名:杨莉 谷小鸣
作者单位:中山医科大学孙逸仙纪念医院心内科
摘    要:为了解二尖瓣脱垂与感染性心内膜炎之间的关系,对本院1984年1月至1996年12月诊断为原发性二尖瓣脱垂(MVP)并发感染性心内膜炎(IE)21例患者的临床资料进行分析。结果显示:占同期IE发病总数的23%,占二尖瓣脱垂的48%;其中男13例,女8例,男女比例为1.6∶1;平均年龄32岁(9~61岁),20~50岁者17例(占81%)。其临床特点为起病隐匿,心力衰竭、体循环栓塞(尤其脑栓塞)等并发症的发生率较高。超声心动图检查对本病的诊断具有重要价值。

关 键 词:心内膜炎.感染性  二尖瓣脱垂

MITRAL VALVE PROLAPSE AND INFECTIVE ENDOCARDITIS
L Yang,X Gu,X Zhang. MITRAL VALVE PROLAPSE AND INFECTIVE ENDOCARDITIS[J]. Chinese journal of internal medicine, 1997, 36(12): 802-804
Authors:L Yang  X Gu  X Zhang
Affiliation:Department of Cardiology, Memorial Hospital, Sun Yatsen University of Medical Sciences, Guangzhou.
Abstract:The data from patients with mitral valve prolapse and infective endocarditis were analysed. Twenty-one patients were found, including 13 males and 8 females, with a mean age of 32 years old (range 9 to 61 years). They accounted for 23% of all patients with infective endocarditis, and 48% of those with mitral valve endocarditis diagnosed in our hospital between Jan, 1984 to Dec, 1996. The clinical features were indistinct onset, high incidence of serious complications such as cardiac failure and emboli to large vessels, especially cerebral vessel. Echocardiography played an important role in the diagnosis of the disease.
Keywords:Endocarditis Mitral valve prolapse  
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