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感染性心内膜炎患者的短期结局:一项单中心前瞻性研究。

Short-term Outcome of Patients with Infective Endocarditis: A Single-center Prospective Study.

作者信息

Saberi Kianoush, Salehi Mehrdad, Bakhshandeh Ali Reza, Sharifi Shahnaz, Rahmanian Mehrzad, Sattarzadeh Roya, Tavoosi Anahita

机构信息

Cardiac Anesthesiology Department, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Cardiac Surgery Department, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Anesth Essays Res. 2017 Oct-Dec;11(4):1018-1021. doi: 10.4103/aer.AER_66_17.

DOI:10.4103/aer.AER_66_17
PMID:29284867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5735442/
Abstract

OBJECTIVES

To investigate the short-term outcome of patients with infective endocarditis (IE).

PATIENTS AND METHODS

We analyzed data from 42 patients with active endocarditis which underwent different cardiac surgeries. An active endocarditis was considered due to urine analysis and/or blood culture and acute inflammation Gram stains of sample tissue and/or blood culture and acute inflammation Gram stains of sample tissue.

DESIGN

Collecting data of 42 patients prospectively.

SETTING

University hospital single center.

PARTICIPANTS

Patients with IE from July 2014 to June 2016.

INTERVENTIONS

None.

MEASUREMENT AND MAIN RESULTS

We collected data of 42 patients in Imam Hospital which is a university-based 1700-bed center. Twelve patients experienced a redo operation; in which, 2 of them have had the second redo. Five patients underwent an aortic valve replacement operation, 2 mitral valve repair, and only one patient had experienced a subaortic web resection. Seven cases were addict; in which, 5 of them were intravenous abusers. There was 1 porphyric patient which suffered from pethidine reliability. Most of our cases underwent Bentall or tricuspid valve repair operation, and multivalve operation was more scarce.

CONCLUSIONS

We have presented the therapeutic strategies and outcome of patients with IE and evaluated their short-term outcome.

摘要

目的

研究感染性心内膜炎(IE)患者的短期预后。

患者与方法

我们分析了42例接受不同心脏手术的活动性心内膜炎患者的数据。活动性心内膜炎的诊断依据尿液分析和/或血培养以及样本组织的急性炎症革兰氏染色和/或血培养以及样本组织的急性炎症革兰氏染色。

设计

前瞻性收集42例患者的数据。

地点

大学医院单中心。

参与者

2014年7月至2016年6月期间的IE患者。

干预措施

无。

测量与主要结果

我们在拥有1700张床位的大学附属医院伊玛目医院收集了42例患者的数据。12例患者经历了再次手术;其中2例进行了第二次再次手术。5例患者接受了主动脉瓣置换手术,2例进行了二尖瓣修复,只有1例患者经历了主动脉下纤维带切除术。7例患者有药物成瘾史;其中5例为静脉药物滥用者。有1例血卟啉病患者对哌替啶反应不佳。我们的大多数病例接受了Bentall手术或三尖瓣修复手术,多瓣膜手术较少。

结论

我们介绍了IE患者的治疗策略和预后,并评估了他们的短期预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/5735442/27da57ea07bc/AER-11-1018-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/5735442/27da57ea07bc/AER-11-1018-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/5735442/27da57ea07bc/AER-11-1018-g003.jpg

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High incidence of infective endocarditis in adults with congenital ventricular septal defect.先天性室间隔缺损成人感染性心内膜炎的高发病率。
Heart. 2016 Nov 15;102(22):1835-1839. doi: 10.1136/heartjnl-2015-309133. Epub 2016 Jul 21.
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An approach to a patient with infective endocarditis.
感染性心内膜炎患者的诊疗方法。
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Analysis of the 2015 American and European guidelines for the management of infective endocarditis.2015年美国和欧洲感染性心内膜炎管理指南分析
Med Mal Infect. 2016 Dec;46(8):406-410. doi: 10.1016/j.medmal.2016.05.008. Epub 2016 Jun 11.
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2015 ESC Guidelines on the management of infective endocarditis: a big step forward for an old disease.2015年欧洲心脏病学会感染性心内膜炎管理指南:一种古老疾病向前迈出的一大步。
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