感染性心内膜炎的诊断与外科治疗

目的探讨感染性心内膜炎的诊断与外科治疗特点，分析术后近、中期效果。方法1995年1月至2007年6月期间52例感染性心内膜炎患者在我院接受手术治疗，通过对临床资料的分析，总结外科治疗经验。通过对门诊及电话随访资料的分析，总结手术后近、中期效果。结果术后早期死亡4例（7．7％），术后随访6个月至12年，出院患者死亡5例，生存患者中心功能Ⅱ级34例、Ⅲ级9例。结论早期明确诊断、选择合适的手术时机及内、外科综合治疗，是提高感染性心内膜炎治愈率的关键。

Diagnosis and surgical treatment of infective endocarditis

Objective To investigate the diagnosis ,surgical treatment and outcome of infective endo- carditis. Methods From January 1995 to June 2007, 52 cases with infective endocarditis underwent operation in our hospital. To analysis the following-up data and summarize the outcome of these patients. Results There were 4 cases of early-death. Early mortality after heart operations is 7.7%.48 patients were followed-up for 6 months to 12 years. 5 were death. Other cardiac function（NYHA）：class Ⅱ was in 34 cases,class Ⅲ in 9 cases. Conclusion Early diagnosis, optimal surgical timing, combined internal medicine and surgical treatment are the critical factors to treatment of cases with infective endocarditis.