摘要
目的:研究活动性感染性心内膜炎进行外科治疗的临床经验,提高疗效及治愈率。方法:回顾性分析46例活动性感染性心内膜炎患者,其中接受外科治疗21例患者为Ⅰ组,接受内科治疗的25例患者为Ⅱ组。在Ⅱ组中,因病情危重死亡3例,因疗效不满意及病情危重接受急诊手术治疗14例。结果:Ⅰ组与Ⅱ组术前心功能的差异无统计学意义(P>0.05),术后心功能的差异有统计学意义(P<0.05)。Ⅰ组死亡率4.8%,Ⅱ组死亡率16.0%。Ⅱ组的内科治疗(27.3%)与外科治疗死亡率(7.1%)的差异有统计学意义(P<0.05)。结论:活动性感染性心内膜炎在合适的时机接受适当的外科手术治疗,有较高的治愈率。
Objective：To improve efficacy and cure rate of patients with active infective endocarditis referred to our center for surgical treatment.Method：Forty-six cases with active infective endocarditis were analyzed retrospectively,the group Ⅰincluded 21 patients and treated surgically,and the group Ⅱinluded 25 patients received medical treatment.In group Ⅱ,3cases of death caused by critical condition,and 14 patients in critical condition received emergency surgical treatment.Result：In Group I and Group Ⅱ,preoperative cardiac function showed no significant difference（P〉0.05）,but cardiac function was significantly different after the operation（P〈0.05）.The mortality rate of GroupⅠ was 4.8% and GroupⅡ was 16.0%.The difference of mortality between medical treatment（27.3%）and surgical treatment（7.1%）in group Ⅱ was statistically significant（P〈0.05）.Conclusion：Active infective endocarditis has a higher cure rate when patients receive appropriate surgical treatment at the right time.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2015年第1期63-66,共4页
Journal of Clinical Cardiology
关键词
感染性心内膜炎
外科治疗
疗效
infective endocarditis
surgical treatment
efficacy
