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关键词：心内膜炎；感染性；血管栓塞
【摘要】 目的 探讨感染性心内膜炎(IE)并发血管栓塞的临床特征。方法 采用回顾性方法对比分析了38例并发血管栓塞的IE和149例未并发血管栓塞的IE患者。结果 IE并发血管栓塞的发生率为20.3%。与对照组比较，栓塞组发热常见(92.1%)、血培养阳性率高(76.3%)、绿脓杆菌感染相对多见(10.5%)、赘生物直径较长及预后差。结论 IE并发血管栓塞者与无栓塞比较，在临床表现、血培养、赘生物大小等方面有所不同，并发栓塞是IE死亡的重要危险因素。
Clinical characteristics of infective endocarditis with arterial embolism
Li Zheng, Chen Luyan. Guangdong Provincial Cardiovascutar Institute, Guangzhou 510100
【Abstract】 Objective To investigate the clinical features of infective endocarditis (IE) complicated with embolism. Method 38 cases of IE with embolism and 149 cases of IE without embolism were analyzed retrospectively. Results Embolism occurs in 20.3% patients with IE. Compared with nonembolism, IE patients with embolism are more likely to develop fever (92.1%), positive blood cultivation (76.3%), pseudomonas aeruginous infection (10.5%), larger neoplasm, higher white blood cell count, and poorer prognosis.Conclusions Compared with those without embolism, IE patients with embolism differ remarkably in clinical presentation, blood cultivation, white blood cell count, neoplasm size, etc. The embolism complication is one of the major lethal factors for IE patients.
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