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心脏瓣膜病合并感染性心内膜炎的外科治疗
引用本文:王喜明,张艳霞,杨景学,法宪恩,赵根尚,李红卫. 心脏瓣膜病合并感染性心内膜炎的外科治疗[J]. 医疗保健器具, 2011, 18(6): 829-830. DOI: 10.3936/j.issn.1674-4659.2011.06.0829
作者姓名:王喜明  张艳霞  杨景学  法宪恩  赵根尚  李红卫
作者单位:1. 郑州大学第二附属医院心脏外科,河南,郑州,450014
2. 第四军医大学附属西京医院心脏外科,陕西,西安,710032
基金项目:河南省科技厅重大基础研究项目
摘    要:目的探讨心脏瓣膜心内膜炎的临床特点、手术时机选择和围术期处理。方法回顾分析26例心脏瓣膜病合并感染性心内膜炎的临床表现、治疗经过和临床预后。结果术前死于恶性心力衰竭1例,术后随访25例,随访时间3个月~6年,无术后死亡,无再发感染。结论心脏瓣膜病合并感染性心内膜炎外科治疗风险大,死亡率高,正确掌握手术指征、术中彻底清除感染灶和围术期正确处理是治疗的关键。

关 键 词:感染性心内膜炎  心脏瓣膜病  外科治疗

Surgical Treatment for Heart Valve Disease Combined with Infective Endocarditis
WANG Ximing,ZHANG Yanxia,YANG Jingxue,FA Xian'en,ZHAO Genshang,LI Hongwei. Surgical Treatment for Heart Valve Disease Combined with Infective Endocarditis[J]. Medicine Healthcare Apparatus, 2011, 18(6): 829-830. DOI: 10.3936/j.issn.1674-4659.2011.06.0829
Authors:WANG Ximing  ZHANG Yanxia  YANG Jingxue  FA Xian'en  ZHAO Genshang  LI Hongwei
Affiliation:WANG Ximing 1,ZHANG Yanxia 1,YANG Jingxue 2,FA Xian'en 1,ZHAO Genshang 1,LI Hongwei 1(1Department of Cardiovascular Surgery,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China,2Department of Cardiovascular Surgery,the Affiliated Xijing Hospital of the Fourth Military Medical University,Xi'an 710032,China)
Abstract:Objective To investigate the clinical characteristics,surgical timing and perioperative surgical treatment of heart valve disease combined with infective endocarditis. Methods The clinical manifestations,treatment process and prognosis outcomes of 26 patients with heart valve disease combined with infective endocarditis from May 2009 to December 2010 were retrospectively analyzed. Results One patient(3.8%) died due to malignant heart failure before operation,25 patients were followed up for 3 months to 6 ye...
Keywords:Infective endocarditis  Heart valve disease  Surgical treatment  
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