关键词:感染性心内膜炎;动脉栓塞;临床分析
【摘要】 目的 探讨感染性心内膜炎(IE)合并动脉栓塞的临床特点及其诊治。方法 对16例该病病例进行临床资料分析。结果 IE合并动脉栓塞发生率为30.19%,经治疗后,近期好转者3例(18.75%)、无效出院者3例(18.75%)、死亡者10例(62.5%)。结论 IE合并动脉栓塞除有一般IE的临床表现外,还存在不同部位栓塞的临床特点。IE合并动脉栓塞死亡率很高,积极的内科治疗或手术治疗是预防其发生的有效方法。
Clinical analysis of infective endocarditis combined arterial embolism
Zhang Xiaohong. Department of Cardiology, The First Hospital of Chenzhou, Chenzhou 423000
【 Abstract 】 Objective To explore the clinical and diagnostic characters of infective endocarditis (IE) combined arterial embolism. Methods The clinical data of 16 cases were analysed. Results The morbidity rate of IE combined arterial embolism in IE was 30.19%, cerebral embolism 10 cases, pulmonary embolism 2 cases, splenic 1 case, cerebral and renal embolism 1 cases, mesenteric and extremity embolism 1 cases, extremity embolism 1 cases. Through treatment, 3 cases (18.75%) were improved recently, 3 cases (18.75%) were discharged for effectiveless, 10 cases (62.5%) were died. Conclusion Beside the general clinical symptoms of IE, there were different clinical characters with different embolism sites. Colour Doppler echocardiography examination had very value on clinical diagnosis of IE. The death rate of IE combined arterial embolism was high, active medical or surgical treatment was the preventive method for its happening.
【 Key words 】 Infective endocarditis Arterial embolism Clinical analysis
感染性心内膜炎(Infective endocarditis, IE)为严重的心脏疾患 ......
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