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感染性心内膜炎现行诊断标准的评估

An assessment of the current diagnostic criteria for infective endocarditis.

作者信息

Chan A W, Ross H J

机构信息

Division of Cardiology, Department of Medicine, The Toronto Hospital, University of Toronto, Toronto, Ontario.

出版信息

Can J Infect Dis. 1998 Jul;9(4):235-9. doi: 10.1155/1998/812904.

Abstract

A firm diagnosis of infective endocarditis is difficult to establish. Clinicians often face a decision-making dilemma about whether to treat a patient presenting with some features that suggest endocarditis. This article summarizes both the previous and the recently proposed criteria for the diagnosis of infective endocarditis, and reviews the efficacy of the new criteria. The authors also discuss the experience at The Toronto Hospital, Toronto, Ontario, with this disease, paying specific attention to the application of the new criteria in the diagnostic process.

摘要

感染性心内膜炎的确切诊断很难确立。临床医生在面对一些具有心内膜炎特征的患者时,常常面临治疗决策的两难困境。本文总结了既往及最近提出的感染性心内膜炎诊断标准,并对新标准的有效性进行了综述。作者还讨论了安大略省多伦多市多伦多医院在诊治该病方面的经验,特别关注了新标准在诊断过程中的应用。

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本文引用的文献

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Diagnosis of 22 new cases of Bartonella endocarditis.22例新型巴尔通体心内膜炎的诊断
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Infective endocarditis: review of 135 cases over 9 years.感染性心内膜炎:9年135例病例回顾
Clin Infect Dis. 1996 Feb;22(2):276-86. doi: 10.1093/clinids/22.2.276.

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