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小儿感染性心内膜炎(IE)是一种严重而复杂的疾病,大多发生于心脏病患儿,急性严重化脓感染也可使无心脏病患儿发生IE。近年来抗生素的广泛应用,使其临床表现不典型,为了及早诊治以减少严重并发症和病死率,现将我院于1981年5月~1996年3月收治的35例报道如下。 资料与方法 1.对象 本组35例,男23、女12例,年龄8个月~14岁,中位年龄7岁。原有疾病:先天性心脏病30例,其中室间隔缺损24例,法洛氏四联症3例,动脉导管未闭、主动脉瓣上狭窄、单心室各1例。
Infantile infective endocarditis (IE) is a serious and complex disease, mostly in children with heart disease, acute purulent infection can also occur in children without heart disease IE. In recent years, the widespread use of antibiotics to make its clinical manifestations atypical, in order to early diagnosis and treatment to reduce serious complications and mortality, now our hospital in May 1981 ~ March 1996 admitted 35 cases are reported below. Materials and Methods 1. Subjects The group of 35 patients, 23 males and 12 females, aged 8 months to 14 years old, the median age of 7 years. The original disease: congenital heart disease in 30 cases, including 24 cases of ventricular septal defect, tetralogy of Fallot in 3 cases, patent ductus arteriosus, aortic stenosis, single ventricle in 1 case.