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安装有人工心瓣膜的病人也许没有意识到他们经受较小的手术操作(例如牙科手术)亦会带来危险。另一个危险因素则是针刺术。在挪威,这种治疗通常是由江湖游医执行,在过去二十年来变得愈来愈普遍。最近作者遇见一例装有人工心瓣膜的病人,由于针刺治疗发展到心内膜炎。病例报告一位因风湿性心瓣膜病而安装人工心瓣膜的59岁女病人,因头部受到轻微打击而感到疼痛,在入院两周前由一未经正规医学训练的行医者治疗两天。治疗包括在踝、膝周围以及头颈等部位作一系列“维生素”注射,并
Patients with prosthetic heart valves may not be aware that they can be dangerous as they undergo minor surgical procedures (such as dental surgery). Another risk factor is acupuncture. In Norway, this treatment is usually administered by swimmers, and has become more common over the past two decades. Recently, the author met a patient with a prosthetic heart valve that progressed to endocarditis due to acupuncture. Case Report A 59-year-old female patient with a prosthetic heart valve due to rheumatic heart disease was painful with a slight head blow and was treated for two days by an unmediated practitioner two weeks before admission. Treatment includes a series of “vitamin” injections on the ankles, knees and head and neck