心脏装置相关的心内膜炎：流行病学、发病机制、诊断与治疗——综述
Cardiac device-related endocarditis: Epidemiology, pathogenesis, diagnosis and treatment - a review.
作者信息
Edelstein Shimon, Yahalom Malka
机构信息
Unit of Infectious Disease;
出版信息
Int J Angiol. 2009 Winter;18(4):167-72. doi: 10.1055/s-0031-1278347.
Abstract
Cardiac device-related endocarditis (CDE) is a phenomenon for which incidence is on the rise; it presents difficult management problems to the clinician. On one hand, there is the patient who needs the implanted device, and the potential morbidity and mortality associated with its removal. On the other hand, there is the problem of a persistent infection - usually acquired during insertion of an electrical device - that is resistant to many antibiotics, has a high recurrence rate, and necessitates an extensive operation to remove the device if removal is delayed. Most studies recommend device and metal lead replacement if CDE occurs. The aim of the present review is to raise awareness of CDE among clinicians, and to provide an appropriate approach to its management.
摘要
心脏装置相关的心内膜炎（CDE）是一种发病率呈上升趋势的现象；它给临床医生带来了棘手的管理问题。一方面，有需要植入装置的患者，以及与移除装置相关的潜在发病率和死亡率。另一方面，存在持续感染的问题——通常在插入电子装置期间获得——这种感染对许多抗生素耐药，复发率高，如果延迟移除装置，则需要进行广泛的手术来移除该装置。大多数研究建议，如果发生CDE，应更换装置和金属导线。本综述的目的是提高临床医生对CDE的认识，并提供一种适当的管理方法。
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