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[感染性心内膜炎与特殊情况:右心、人工瓣膜、心脏植入式电子装置]

[Infective endocarditis and specific situations: Right heart, valve prosthesis, cardiac implantable electronic device].

作者信息

Delahaye François, De Gevigney Guy

机构信息

Hôpital Louis-Pradel, hospices civils de Lyon, 69677 Lyon, France; Université Claude-Bernard Lyon I, 69008 Lyon, France.

Hôpital Louis-Pradel, hospices civils de Lyon, 69677 Lyon, France; Université Claude-Bernard Lyon I, 69008 Lyon, France.

出版信息

Presse Med. 2019 May;48(5):549-555. doi: 10.1016/j.lpm.2019.04.006. Epub 2019 May 17.

Abstract

Right-sided infective endocarditis (IE) represents 5-10% of IE. It may occur in patients with electronic intracardiac device, central venous catheter or congenital heart disease, but the most frequent situation is intravenous drug use. Prosthetic valve IE is the most severe form of IE. The diagnosis is more challenging than that of native valve IE, as is treatment, both antibiotic treatment and surgical indications. The infection of an electronic intracardiac device is a severe disease. Both diagnostic and therapeutic strategies are difficult.

摘要

右侧感染性心内膜炎(IE)占IE的5%-10%。它可能发生在植入心脏电子装置、中心静脉导管或患有先天性心脏病的患者中,但最常见的情况是静脉药物滥用。人工瓣膜心内膜炎是IE最严重的形式。其诊断比天然瓣膜心内膜炎更具挑战性,治疗也是如此,包括抗生素治疗和手术指征。心脏电子装置感染是一种严重疾病。诊断和治疗策略都很困难。

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