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静脉药物使用者感染性心内膜炎行三尖瓣修复术后的反复感染和栓塞:临床难题。

Recurrent infection and embolism following tricuspid valve repair for infective endocarditis in an intravenous drug user: A clinical dilemma.

作者信息

Ahmed Yasir, Poon Shi Sum, Aslam Umair, Kumar Pankaj

机构信息

Department of Cardiothoracic Surgery Morriston Hospital Swansea Wales UK.

出版信息

Clin Case Rep. 2023 May 18;11(5):e7177. doi: 10.1002/ccr3.7177. eCollection 2023 May.

DOI:10.1002/ccr3.7177
PMID:37215969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10196414/
Abstract

Management of infective endocarditis (IE) in intravenous drug users (IVDUs) can be challenging due to risk of reinfection following surgery. Although complex repair techniques that can be utilized to reconstruct the tricuspid valve after extensive debridement, treatment of active IVDU is incomplete without effective post-operative harm reduction intervention program.

摘要

静脉注射吸毒者(IVDUs)感染性心内膜炎(IE)的管理具有挑战性,因为手术后存在再次感染的风险。尽管在广泛清创后可采用复杂的修复技术来重建三尖瓣,但如果没有有效的术后减少伤害干预计划,对活跃的静脉注射吸毒者的治疗是不完整的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5871/10196414/b4d4f562b414/CCR3-11-e7177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5871/10196414/28e2455f0a0a/CCR3-11-e7177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5871/10196414/b4d4f562b414/CCR3-11-e7177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5871/10196414/28e2455f0a0a/CCR3-11-e7177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5871/10196414/b4d4f562b414/CCR3-11-e7177-g001.jpg

相似文献

1
Recurrent infection and embolism following tricuspid valve repair for infective endocarditis in an intravenous drug user: A clinical dilemma.静脉药物使用者感染性心内膜炎行三尖瓣修复术后的反复感染和栓塞:临床难题。
Clin Case Rep. 2023 May 18;11(5):e7177. doi: 10.1002/ccr3.7177. eCollection 2023 May.
2
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本文引用的文献

1
Current AATS guidelines on surgical treatment of infective endocarditis.美国胸外科医师协会(AATS)目前关于感染性心内膜炎外科治疗的指南。
Ann Cardiothorac Surg. 2019 Nov;8(6):630-644. doi: 10.21037/acs.2019.10.05.
2
Long-term Outcomes Are Poor in Intravenous Drug Users Following Infective Endocarditis, Even After Surgery.静脉药物使用者感染性心内膜炎即使手术后长期预后较差。
Clin Infect Dis. 2020 Jul 27;71(3):564-571. doi: 10.1093/cid/ciz869.
3
Clinical Characteristics and Factors Associated With Mortality in First-Episode Infective Endocarditis Among Persons Who Inject Drugs.
在注射吸毒者中,首发感染性心内膜炎的临床特征及与死亡率相关的因素。
JAMA Netw Open. 2018 Nov 2;1(7):e185220. doi: 10.1001/jamanetworkopen.2018.5220.
4
Surgical Management of Tricuspid Valve Infective Endocarditis: A Systematic Review and Meta-Analysis.三尖瓣感染性心内膜炎的手术治疗:系统评价和荟萃分析。
Ann Thorac Surg. 2018 Sep;106(3):708-714. doi: 10.1016/j.athoracsur.2018.04.012. Epub 2018 May 8.
5
Surgical outcomes of infective endocarditis among intravenous drug users.静脉药物使用者感染性心内膜炎的手术治疗结果。
J Thorac Cardiovasc Surg. 2016 Sep;152(3):832-841.e1. doi: 10.1016/j.jtcvs.2016.02.072. Epub 2016 Mar 12.