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感染性心内膜炎的紧急处理要点

Emergency Considerations of Infective Endocarditis.

作者信息

Philip Jobin, Bond Michael C

机构信息

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, Sixth Floor, Suite 200, Baltimore, MD 21201, USA.

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, Sixth Floor, Suite 200, Baltimore, MD 21201, USA.

出版信息

Emerg Med Clin North Am. 2022 Nov;40(4):793-808. doi: 10.1016/j.emc.2022.07.001. Epub 2022 Oct 7.

DOI:10.1016/j.emc.2022.07.001
PMID:36396222
Abstract

Although still a rare bacterial infection of the endocardium of the heart, the incidence of infective endocarditis continues to increase with the increased use of intracardiac devices, indwelling lines, and surgical procedures being done on patients. The diagnosis of infective endocarditis remains challenging and requires a high level of suspicion to initiate the appropriate investigation and treatment. Serious complications can still occur despite optimal care, so it is helpful that these patients be managed by a team that includes infectious disease, cardiology, and cardiac surgeons.

摘要

尽管感染性心内膜炎仍是一种罕见的心脏内膜细菌感染,但随着心脏内装置、留置导管的使用增加以及对患者进行的外科手术增多,其发病率持续上升。感染性心内膜炎的诊断仍然具有挑战性,需要高度怀疑才能启动适当的检查和治疗。尽管给予了最佳治疗,严重并发症仍可能发生,因此由包括传染病专家、心脏病专家和心脏外科医生在内的团队对这些患者进行管理会有所帮助。

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