Infective endocarditis: prevention, diagnosis and management.
Infective endocarditis: prevention, diagnosis and management.
复制标题
感染性心内膜炎：预防、诊断和治疗。
DOI：
10.1097/00063110-199406000-00011
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发表时间：
1994
影响因子：
4.4
通讯作者：
L. Galiuto
中科院分区：
文献类型：
--
作者：
L. Pierard;P. Lancellotti;L. Galiuto
感染性心内膜炎仍然是一个重要的问题，预防手段仍然不足。致病细菌变化不大，但院内感染和并发静脉药物滥用的心内膜炎的发生率正在增加。亚急性和急性临床表现之间的区别仍然是适当的。心脏和神经系统并发症是常见的，并具有很高的死亡率。诊断是通过综合临床资料和血培养结果得出的。超声心动图是非常有用的检测植被，并评估血流动力学的后果和特定的心脏并发症。通过对多个参数的正确积分，可以得到风险分层。在开始抗微生物治疗前应确定致病因子。手术是经常需要的，并应迅速进行时，指征。
Infective endocarditis remains an important problem and the means of prevention are still insufficient. The causal bacteria have changed very little, but the incidence of nosocomial infections and endocarditis complicating intravenous drug abuse are increasing. The distinction between subacute and acute clinical presentations remains appropriate. Cardiac and neurological complications are frequent and carry a high risk of mortality. The diagnosis is obtained by the integration of clinical data and the results of blood cultures. Echocardiography is extremely useful for detecting vegetations, and for assessing the haemodynamic consequences and specific cardiac complications. Risk stratification can be obtained by correct integration of multiple parameters. The causal agent should be identified before the initiation of antimicrobial therapy. Surgery is frequently required, and should be performed rapidly when indicated.