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[心脏瓣膜置换术后患者感染性心内膜炎的危险因素]

[Risk factors for infective endocarditis in cardiac valve prosthesis patients].

作者信息

Krikunov A A, Kharchenko N L, Fed'ko V V, Rusnak A O

出版信息

Klin Khir. 2013 Feb(2):25-7.

Abstract

Infective endocarditis (IM) of the artificial cardiac valve (ACV) constitutes one of severe postoperative complications and presents a total spectrum and number of observations, concerning infectioning of the implanted ACV or of the adjacent tissues, which have had occurred in various time postoperatively. Wide introduction in practical cardiosurgery have caused the raising of the IM of ACV occurrence rate from 16 to 45%. Basing on analysis of data of 276 patients there were studied up the factors and conditions, predisposing to occurrence of IM in ACV. The main causes of a primary affection of natural cardiac valves in the patients were rheumatism and IM, the leading role in occurrence of bacteriemia have played nosocomial factors while performing stomatological, urological, gynecological and general surgical manipulations.

摘要

人工心脏瓣膜(ACV)感染性心内膜炎(IM)是严重的术后并发症之一,呈现出一系列的观察结果,涉及植入的ACV或相邻组织在术后不同时间发生的感染。在心脏外科实践中的广泛应用导致ACV感染性心内膜炎的发生率从16%上升至45%。基于对276例患者数据的分析,研究了易导致ACV感染性心内膜炎发生的因素和条件。患者天然心脏瓣膜原发性感染的主要原因是风湿和IM,在进行口腔、泌尿、妇科和普通外科手术操作时,医院因素在菌血症的发生中起了主导作用。

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