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Abdul Badran¹, Henry Rowe¹, Mona Jaffar-Karballai²

¹Department of Cardiothoracic Surgery, University Hospital Southampton, Southampton, UK.

Heart, lung & circulation

|August 8, 2024

概括

对传染性内心炎 (IE) 的手术干预显示出比单独的医疗管理更高的存活率. 对于神经症状的IE患者来说,在两周内迅速进行手术可以获得出色的结果.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
心脏外科手术心脏外科手术

背景情况:

传染性内心炎 (IE) 的治疗通常涉及医疗管理,而手术则保留在并发症或治疗失败的情况下.
关于IE患者脑血管后事件的最佳手术时间存在争议,IE患者在15%-30%的病例中经历了这些事件.

研究的目的:

为了比较手术与传染性内心炎的医疗治疗的疗效.
为了确定IE患者神经症状发展后手术干预的最佳时间.

主要方法:

在2012年至2018年期间,在一家高等教学医院对436名被诊断患有IE的患者进行了回顾性分析.
评估治疗类型,手术时间,死亡率,IE复发和住院时间.

主要成果:

在421名分析患者中,69.1%进行了手术干预,生存率为77.2%,而医疗管理为50.7%.
在具有神经症状的患者中 (6.8%),在14天内接受手术的患者的生存率为90.9%.

结论:

与单独的医疗管理相比,手术似乎为传染性内心炎提供了更高的生存率.
在IE患者出现神经症状后两周内进行手术干预是安全的,并且与优异的结果有关.

关键词:

心胸外科手术是一项心胸手术.传染性内心炎是一种感染性内心炎.微生物学微生物学神经系统症状神经系统症状

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