论文部分内容阅读
目的 分析 2 1例先天性心脏病感染心内膜炎 ( IE)的临床资料、超声心动图术前诊断和手术后结果 ,为其诊断及治疗提供参考。方法 对比研究本组各类先天性心脏病 IE的并发率、临床特点、血培养、心电图、术前超声心动图诊断结果及术后心内膜受损的情况。结果 本组先天性心脏病 IE患者室间隔缺损及主动脉瓣病变的发病率最高。手术证实心内膜受损部位以主动脉瓣受累最多 ,也可有多个瓣膜及多种病变的损坏。结论 先天性心脏病的早期诊断治疗是减少 IE发生的重要预防措施 ,赘生物侵犯主动脉瓣的机率高于二尖瓣。超声心动图诊断结合临床 ,反复多次检查是早期诊断的关键。
Objective To analyze the clinical data of 21 cases of endocarditis (IE) infected with congenital heart disease, preoperative diagnosis and postoperative results of echocardiography, and provide a reference for its diagnosis and treatment. Methods Comparisons of IE concomitant rate, clinical features, blood culture, electrocardiogram, preoperative echocardiographic diagnosis and postoperative endocardial damage in all kinds of congenital heart disease were performed in this study. Results This group of patients with congenital heart disease IE ventricular septal defect and aortic valve disease the highest incidence. Surgery confirmed that the affected part of the heart to the aortic valve involvement, but also can have multiple valves and a variety of lesions. Conclusions Early diagnosis and treatment of congenital heart disease is an important preventive measure to reduce the incidence of IE. The rate of neoplasm invasion of aortic valve is higher than that of mitral valve. Echocardiography combined with clinical diagnosis, repeated examination is the key to early diagnosis.