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为探讨感染性心内膜炎 (IE)的临床特征及预后因素 ,对15年来收治的30例IE患儿的所有资料进行回顾性调查 ,结果30例IE患儿治愈9例 ,死亡5例 ;持续发热为其主要表现 ,血培养阳性18例 (60.0 % ) ,其中金葡菌9例 (50.0 % ) ;超声检查发现赘生物21例 ,有赘生物及有基础心脏病组死亡率为23.8 %和25.0 % ,无赘生物和无基础心脏病组无死亡 ;栓塞组死亡21.4 % ,无栓塞组为12.5 % ;血培养阳性组死亡22.2% ,阴性组为8.3 %。提示IE的显著症状是持续发热 ,金葡菌感染占首位 ,预后与赘生物、栓塞、基础心脏病存在和血培养阳性有关。
To investigate the clinical features and prognostic factors of infective endocarditis (IE), we retrospectively reviewed all the data of 30 children with IE in the past 15 years. The results showed that 30 children with IE were cured in 9 and 5 died. Continuous fever was the main manifestation. Blood culture was positive in 18 cases (60.0%), of which Staphylococcus aureus was in 9 cases (50.0%). Ultrasonography found that 21 cases of neoplasm, neoplasm and underlying heart disease group had a mortality rate of 23.8% And 25.0% respectively. There was no death in the group of no neoplasm and no basic heart disease. The death rate in the embolization group was 21.4%, in the non-embolization group was 12.5%. In the blood culture positive group, the death was 22.2% in the negative group and 8.3% in the negative group. Prompt IE is a significant symptom of persistent fever, Staphylococcus aureus infection in the first place, the prognosis and neoplasms, embolism, basic heart disease and blood culture positive.