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本文旨在简略地复习感染性心内膜炎的某些较新的治疗方法,特别是关于不常见的和“机会性”微生物,外科手术在感染性心内膜炎发病与病程中所起的作用,抗菌素的剂量、给药途径和使用时间,以及化学药物预防中的一些有争论的问题。感染性心内膜炎处理的一般原则化学疗法的微生物学基础血培养可以提供建立病原学诊断和选择控制感染性心内膜炎最有效的治疗方案所必需的关键性资料。过去的经验显示,取血培养最好的时间是在体温开始上升前约2小时,但并不总能做到。作者等的做法是,从估
This article aims to briefly review some of the more recent treatments for infective endocarditis, especially with regard to the infrequent and “opportunistic” micro-organisms that surgery presents in the pathogenesis and progression of infective endocarditis Role, antibiotic dose, route of administration and duration of use, and some controversial issues in chemical drug prophylaxis. General Principles of Infective Endocarditis Treatment Microbiology Basics of Chemotherapy Blood culture can provide the critical information necessary to establish an etiological diagnosis and to choose the most effective treatment for infective endocarditis. Past experience shows that the best time to take blood is about 2 hours before the body temperature starts to rise, but it can not always be achieved. The author’s approach is from the assessment