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本文对我院1970～1989年6月收治的80例感染性心内膜炎进行分析。大多数(82.5%)发生在器质性心脏病基础上,其中以风湿性心脏病居首位,先天性心脏病次之。心脏术后感染占5.0%;原来无心脏病者占12.5%。72例进行血培养,阳性率为41.7%,其中金黄色葡萄球菌占33.3%;甲型溶血性链球菌占23.3%;白色葡萄球菌占13.3%;草绿色链球菌占6.7%。40例行超声心动图检查,阳性率为57.5%。本组误诊占36.3%,治愈37.5%,死亡28.8%。本病的预后,主要取决于能否早期诊断和治疗。
In this paper, our hospital from 1970 to June 1989 admitted 80 cases of infective endocarditis were analyzed. Most (82.5%) occurred on the basis of organic heart disease, of which the first in rheumatic heart disease, congenital heart disease followed. Postoperative heart infection accounted for 5.0%; the original no heart disease accounted for 12.5%. 72 cases of blood culture, the positive rate was 41.7%, of which Staphylococcus aureus accounted for 33.3%; 23.3% of hemolytic streptococcus; Staphylococcus aureus accounted for 13.3%; Streptococcus viridans accounted for 6.7%. 40 routine echocardiography, the positive rate was 57.5%. This group misdiagnosed 36.3%, 37.5% cured, 28.8% death. The prognosis of this disease, mainly depends on whether early diagnosis and treatment.