42例感染性心内膜炎的外科治疗

目的探讨感染性心内膜炎(infective endocarditis,IE)的诊断及外科治疗时机,提高近远期疗效。方法回顾分析2001年1月～2010年1月手术治疗感染性心内膜炎患者42例,均在体外循环下行毁损瓣膜置换、畸形矫正和赘生物清除术。结果 42例患者术后早期成功39例,死亡3例,近远期效果良好。结论外科治疗感染性心内膜炎效果良好,能明显降低病死率。而正确把握手术时机、手术方式以及围术期的正确处理是提高感染性心内膜炎治愈率的关键。

The surgical treatment of infective endocarditis in 42 cases

Objective To investigate the diagnosis and the surgical opportunity of infective endocarditis(infective endocarditis,IE).Methods The data of 42 cases of IE treated by surgery were analyzed retrospectively from January 2001 to January 2010.The damaged valve replacement and deformity correction and vegetation removal were performed on cardiopulmonary bypass on these patients.Results Three cases were death soon after operation.Thirty-nine cases were achieved good results on the long term follow-up.Conclusion Satisfied effects could be obtained and the rate of mortality could be reduced significantly by surgery on IE patients.It was very important to grasp the timing of surgery correctly and to select the surgical approach as well as to treat correctly on IE patients in perioperative period.