Terpenning M S
University of Michigan Medical School, Ann Arbor.
Clin Geriatr Med. 1992 Nov;8(4):903-12.
This article examines the presentation, diagnosis, and treatment of infective endocarditis in elderly persons. Special problems that cause complications and mortality to be higher in older patients than younger patients also are discussed. Areas of active debate and research are mentioned, including the use of diagnostic echocardiography, treatment of specific bacterial species, sources of iatrogenic endocarditis, and antibiotic prophylaxis.
本文探讨了老年人感染性心内膜炎的临床表现、诊断及治疗。还讨论了导致老年患者并发症和死亡率高于年轻患者的特殊问题。文中提及了当前活跃的辩论和研究领域,包括诊断性超声心动图的应用、特定细菌种类的治疗、医源性心内膜炎的来源以及抗生素预防。