亚急性感染性心内膜炎45例临床诊治分析

目的探讨关于亚急性感染性心内膜炎的临床诊治措施。方法回顾性分析本院2009～2011年收治的45例亚急性感染性心内膜炎患者的临床资料,所有患者均采用抗生素治疗,观察患者的治疗效果。结果所有患者经治疗后,显效34例（75.6%）,有效6例（13.3%）,无效5例（11.1%）,总有效率为88.9%。治疗无效的5例患者中,死亡3例,死亡率为6.7%,其中,2例死于严重感染,1例死于严重肺栓塞。结论亚急性感染性心内膜炎的临床诊断应根据功能检查及实验室检测结果 ,并结合临床症状体征,以提高诊断正确率,早期合理使用抗生素积极治疗,以提高治疗有效率,改善患者预后。

Clinical diagnosis and treatment analysis of subacute infective endocarditis in 45 cases

Objective To investigate effective measures of clinical diagnosis and treatment in subacute infective endocarditis.Methods Clinical data of 45 cases of patients with subacute infective endocarditis in our hospital was retrospec tively analyzed from 2009 to 2011,all the patients were treated with antibiotic therapy,and the effect of treatment was observed.Results Among the patients after the treatment,cured in 34 cases （75.6%）,effective in 6 cases （13.3%）,invalid in 5 cases （11.1%）,the total effective rate was 88.9%.In 5 invalid patients,3 cases died,the mortality rate was 6.7%,of which 2 cases died of severe infection,1 cases died of severe pulmonary embolism.Conclusion The clinical diagnosis of subacute infective endocarditis should be based on functional examination and laboratory test results,and combined with clinical symptoms and signs,so as to raise the rate of correct diagnosis,and we should take antibiotic treatment early to enhance the treatment efficiency,and to improve the prognosis of patients.