近30年来,由于抗菌素的广泛应用、耐药菌种的增多等原因,细菌性心内膜炎的菌谱及其临床表现已发生很大的变化。原发性细菌性心内膜炎的发病率也相应增多。本文报告1962～1966和1973～1977年间收治10例原发性细菌性心内膜炎的经验教训,供大家参考。临床资料一、一般资料入院时5例无心脏杂音,5例有杂音者也有足够证据表明原无瓣膜病变,住院过程中心脏杂音则又发生显著的变化。4例在他院治疗7、8、14、50天后转入我院,在收住他院前16、7、2、17天分别在团卫生队以下单位处理。5例分别在门诊部或本单位医务所治疗2～10天后送来我院。1例系会诊病 The past 30 years, due to the widespread use of antibiotics, drug-resistant bacteria and other reasons, bacterial endocarditis bacteria spectrum and its clinical manifestations have undergone great changes. The incidence of primary bacterial endocarditis also increased accordingly. This article reports from 1962 to 1966 and 1973 to 1977 were treated 10 cases of primary bacterial endocarditis experience for your reference. Clinical data First, the general information 5 cases of admission without heart murmur, 5 cases of murmurs have enough evidence that the original valve disease, hospitalized heart murmur and significant changes have taken place. 4 cases were transferred to our hospital 7, 7, 14 and 50 days after treatment in his hospital, and were handled by the following units of the regiment health team 16, 7, 2 and 17 days before admission to his hospital. 5 cases were in the clinic or the unit medical treatment 2 to 10 days after delivery to our hospital. 1 case of consultation