已有室壁瘤在感染弗氏沙门菌后形成假性动脉瘤——手术切除后的生存情况
False aneurysm formation after Salmonella virchow infection of a pre-existent ventricular aneurysm--survival after surgical resection.
作者信息
Echevarria S, Arjona R, Alonso J, Riancho J A, Revuelta J M, Macias J G
机构信息
Department of Internal Medicine, National Hospital Marques de Valdecilla, Faculty of Medicine, University of Santander, Spain.
出版信息
Postgrad Med J. 1989 Mar;65(761):168-70. doi: 10.1136/pgmj.65.761.168.
A 55 year old man with a left ventricular aneurysm, secondary to a previous myocardial infarction, was hospitalized due to a Salmonella virchow bacteraemia. During a 3-week hospital course he was persistently bacteraemic and febrile despite antibiotic treatment. Gallium isotope scanning and 2-D-echocardiography were helpful in demonstrating the presence of an infected false aneurysm at the site of a true aneurysm. Surgical resection in addition to prolonged antibiotic therapy was necessary for cure.
一名55岁男性，因既往心肌梗死继发左心室动脉瘤，因感染弗氏沙门菌败血症入院。在为期3周的住院过程中，尽管接受了抗生素治疗，他仍持续存在菌血症和发热。镓同位素扫描和二维超声心动图有助于显示在真性动脉瘤部位存在感染性假性动脉瘤。除延长抗生素治疗外，手术切除对于治愈是必要的。
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