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一名五岁男孩患全心炎,累及三尖瓣和室间隔。

Pancarditis in a five-year-old boy affecting tricuspid valve and ventricular septum.

作者信息

Schnoering Heike, Sachweh Joerg S, Muehler Eberhard G, Vazquez-Jimenez Jaime F

机构信息

Department of Pediatric Cardiac Surgery, University Hospital, RWTH Aachen University, Aachen, Germany.

出版信息

Eur J Cardiothorac Surg. 2008 Nov;34(5):1115-7. doi: 10.1016/j.ejcts.2008.07.051. Epub 2008 Aug 27.

DOI:10.1016/j.ejcts.2008.07.051
PMID:18755597
Abstract

A five-year-old boy with a structurally normal heart and recent history of adenotomy and gastroenteritis presented with Staphylococcus aureus pancarditis including endocarditis of the tricuspid valve and abscess of the ventricular septum. Surgical treatment consisted of debridement of the valvar vegetations and of the septal abscess. A seven-day continuous mediastinal irrigation with iodine solution was conducted to eliminate local infection sites as well as to prevent from constrictive pericarditis. The patient recovered uneventfully and is in excellent clinical condition with no residues one year after surgery.

摘要

一名五岁男孩,心脏结构正常,近期有腺样体切除术和肠胃炎病史,现患有金黄色葡萄球菌性全心炎,包括三尖瓣心内膜炎和室间隔脓肿。手术治疗包括清除瓣膜赘生物和室间隔脓肿。进行了为期七天的纵隔碘溶液持续冲洗,以消除局部感染灶并预防缩窄性心包炎。患者术后恢复顺利,术后一年临床状况良好,无任何后遗症。

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