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近年来,由于感染性心内膜炎(IE)致病微生物的变迁,其临床表现亦发生了较大变化,容易引起误诊。为提高对本病的早期诊断水平,复习了我院1970～1989年6月共收治80例 IE 的资料,现将误诊的29例(36.3%)分析如下。临床资料1.一般资料;男14例,女15例;年龄最小7岁,最大58岁;误诊时间最短3天,最长半年;原有器质性心脏病22例,心脏手术后2例,原来无心脏瓣膜损害者5例;治愈10例,好转8例,死亡11例。误诊29例 IE 的临床表现和实验室检查见附表。2.误诊病种:风湿性心脏病(风心病)伴风湿附表误诊29例 IE 的临床表现和实验室检查
In recent years, due to the change of pathogenic microorganisms in infective endocarditis (IE), its clinical manifestations have undergone major changes, easily lead to misdiagnosis. To improve the early diagnosis of this disease, review our hospital from 1970 to June 1989 were treated 80 cases of IE data, now misdiagnosed in 29 cases (36.3%) as follows. Clinical data 1. General information; 14 males and 15 females; the youngest 7 years old, maximum 58 years old; the shortest misdiagnosis time of 3 days, up to six months; the original organic heart disease in 22 cases, 2 cases after cardiac surgery, The original heart valve damage in 5 cases; 10 cases were cured, improved in 8 cases, 11 patients died. Misdiagnosis of 29 cases of IE clinical manifestations and laboratory tests see schedule. 2. misdiagnosed diseases: rheumatic heart disease (rheumatic heart disease) with rheumatic schedule misdiagnosed 29 cases of IE clinical manifestations and laboratory tests