急性细菌内心炎.急性细菌内心炎. 优化外科手术的结果
R I Larbalestier1, N M Kinchla, S F Aranki
1Department of Surgery, Harvard Medical School, Boston, MA.
Circulation
|November 11, 1992
概括
对急性细菌内心炎的手术干预对于高风险患者至关重要. 早期的侵略性手术改善了结果,特别是在假内心炎 (PVE) 和非链球菌感染中.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 手术干预 手术干预
背景情况:
- 急性细菌内心炎具有显著的发病率.
- 虽然抗生素是常见的,但有一部分患者需要手术干预.
研究的目的:
- 分析急性细菌内心炎手术治疗的结果.
- 确定影响这些患者发病率和死亡率的因素.
主要方法:
- 对158名因急性细菌内心炎 (1972-1991) 接受心脏门手术的患者进行了回顾性审查.
- 分析包括原生内心炎 (NVE) 和假内心炎 (PVE) 亚组.
- 评估的结果包括手术死亡率,长期存活率和复发性内心炎率.
主要成果:
- 操作死亡率为NVE的6%,PVE的22%.
- 十年生存率为NVE的66%和PVE的29%.
- 假内心炎和非链球菌感染与生存率下降有关.
结论:
- 急性内心炎的手术结果受感染部位,严重程度和患者因素的影响.
- 建议早期,积极的外科干预以优化结果.
- 应特别注意患有非链球菌感染或PVE的患者.
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