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目的探讨儿童感染性心内膜炎(IE)的诊断和治疗方法。方法回顾性分析2005—2012年我院收治的IE患儿20例的临床资料,包括诊断方法和治疗方法。结果患儿均有发热症状,血培养阳性12例,其中金黄色葡萄球菌5例、表皮葡萄球菌2例、铜绿假单胞菌2例、链球菌2例、大肠埃希菌1例;15例患儿检出赘生物。患儿中治愈19例,其中药物治愈12例、药物联合手术治疗治愈7例;死亡1例。结论 IE患儿病情危重,早期诊断、及时合理地选择治疗方式是挽救其生命,改善预后的关键。
Objective To investigate the diagnosis and treatment of infective endocarditis (IE) in children. Methods The clinical data of 20 children with IE admitted in our hospital from 2005 to 2012 were retrospectively analyzed, including diagnosis and treatment. Results All children had fever symptoms and 12 were positive for blood culture, including 5 Staphylococcus aureus, 2 Staphylococcus epidermidis, 2 Pseudomonas aeruginosa, 2 Streptococcus and 1 Escherichia coli; 15 Children detected vegetation. 19 cases were cured in children, among which 12 cases were cured by drugs, 7 cases were cured by drugs combined with surgery and 1 case died. Conclusion IE children with critical illness, early diagnosis, timely and reasonable treatment options to save their lives and improve the prognosis of the key.