[Infectious endocarditis at Ullevål hospital 1988-94. Echocardiographic investigation].
[Infectious endocarditis at Ullevål hospital 1988-94. Echocardiographic investigation].
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[1988-94 年 Ullevål 医院的感染性心内膜炎超声心动图调查]。
DOI：
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发表时间：
1998
影响因子：
1.1
通讯作者：
N. B. Fjeld
中科院分区：
文献类型：
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作者：
T. Husebye;G. Smith;E. von der Lippe;D. Jacobsen;N. B. Fjeld
在一所大学医院的七年时间里(1998-94)，68名感染性心内膜炎患者被诊断出来。金黄色葡萄球菌是最常见的致病菌(38%)，其次是绿色链球菌(21%)。7例在尸检中首次诊断为感染性心内膜炎，均为临床诊断败血症。41%的患者接受了手术治疗。病死率为34%。S金黄色心内膜炎的病死率显著高于S绿色心内膜炎，分别为48%和7%(P=0.01)。强调了经胸和经食道超声心动图在感染性心内膜炎诊断和随访中的优势。尽管有了这些新的诊断工具，仍有23%的患者没有做出感染性心内膜炎的明确临床诊断。
During a seven-year period (1998-94) 68 patients with infectious endocarditis were diagnosed at a university hospital. Staphylococcus aureus was the most common etiological agent (38%), followed by Streptococcus viridans (21%). In seven patients the diagnosis infectious endocarditis was first made during autopsy, all seven of them had the clinical diagnosis septicaemia. Surgery was performed on 41% of the patients. Case fatality was 34%. Case fatality was significantly higher for S aureus endocarditis than for S viridans endocarditis, 48% vs. 7% (p = 0.01). The advantages of transthoracic and transoesophageal echocardiography in the diagnosis and follow up of patients with infectious endocarditis is emphasized. In spite of these new diagnostic tools a definitive clinical diagnosis of infectious endocarditis was not made for 23% of the patients.