摘要
目的探讨感染性心内膜炎（IE）的外科手术治疗效果及围术期处理原则。方法分析104例经外科手术治疗的IE患者的临床资料，并对治疗效果与转归进行评价。结果术后早期死亡4例，2例为低心排综合征，1例为肾功能衰竭，1例为人工瓣膜炎。随访89例，随访时间1-112w，无心内膜炎复发，心功能恢复至工级66例，Ⅱ级23例。结论外科手术是治疗IE的有效手段，充分的术前准备、准确地把握手术时机和手术原则，以及完善的术后处理是提高手术成功率的关键。
Objectives To investigating surgery principle and perioperative management of infectious endocarditis （IE）. Methods 104 patients with IE patients underwent cardiac surgery were retrospectively analyzed. Results 4 patients died of low cardiac output syndrome （2 cases）, acute renal failure （1 case） and prosthetic valve inflammation（1 case）. 89 patients were followed-up for 1-112 months without recurrence. Postoperative cardiac function （NYHA） of 66 patients recovered to grade Ⅰ and 23 patients to grade Ⅱ. Conclusions It is effective to treat IE with surgery whose keys are preoperative preparation, surgery opportunity and postoperative management.
出处
《西部医学》
2009年第4期587-589,共3页
Medical Journal of West China
关键词
感染性心内膜炎
心脏外科
疗效
Infective endocarditis
Cardiac surgery Therapeutic effect
