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目的:探讨小儿感染性心内膜炎(IE)的诊断及治疗方法。方法:对收治的57例IE患儿的临床资料进行分析。结果:基础疾病:先天性心脏病(先心病)47例,风湿性心脏病(风心病)8例,败血症2例。血培养阳性率为48%(27/56),UCG示赘生物检出率为81%(38/47)。57例均应用有效抗生素,7例行手术治疗。共死亡8例。结论:小儿IE多发于先心病,及早根治先心病和积极防治风心病可降低IE的发生率。UCG在诊断起重要作用,与血培养有互补作用。早期诊断及使用有效抗生素或尽早手术治疗,是提高长期生存率的关键。
Objective: To investigate the diagnosis and treatment of infantile infective endocarditis (IE). Methods: The clinical data of 57 children with IE treated were analyzed. Results: Basic diseases: 47 cases of congenital heart disease (congenital heart disease), 8 cases of rheumatic heart disease (rheumatic heart disease) and 2 cases of sepsis. The positive rate of blood culture was 48% (27/56), and the rate of neoplasms was 81% (38/47) in UCG. 57 cases were effective antibiotics, 7 cases were treated surgically. A total of 8 deaths. Conclusion: IE in children with multiple congenital heart disease, early treatment of congenital heart disease and active prevention and treatment of rheumatic heart disease can reduce the incidence of IE. UCG plays an important role in the diagnosis and has a complementary effect on blood culture. Early diagnosis and the use of effective antibiotics or early surgical treatment is the key to improving long-term survival.