先天性心脏病合并感染性心内膜炎的外科治疗

目的 总结先天性心脏病合并感染性心内膜炎的病例特点及外科治疗经验。方法 回顾性分析1995年1月～2001年12月外科治疗的39例先心病继发性感染性心内膜炎病例，其中单一畸形28例，多发畸形ll例，所有患者均在体外循环下接受手术治疗。结果 术后早期死亡3例，死亡率7．7％；发生Ⅲ度房室传导阻滞、切口感染及脑出血各l例。术后随访5个月至5年，平均3．6年，复发l例，无晚期死亡病例。结论 先天性心脏病合并感染性心内膜炎是外科治疗的绝对指征；早期治疗先心病有助于降低感染性心内膜炎的发病率。

Surgical Treatment of Congenital Heart Diseases with Infective Endocarditis

Objective To summarize the experience of surgical treatment of congenital heart diseases combined with infective endocarditis. Methods All the patients of congenital heart diseases combined with infective endocarditis who received the surgical treatment in our department from January 1995 to December 2001 were retrospectively reviewed,which including 28 cases of single malformation and 11 cases of complex malformations. Results There were 3 early postoperative deathes, and the mortality rate was 7 7%. Followed up 5 months to 5 years with a mean of 3 6 years, there was 1 case of recurrent endocarditis and not late death. Conclusions Congenital heart diseases with infective endocarditis is an absolute surgical indication, and early surgical treatment of congenital heart diseases will lower the incidence of infective endocarditis.