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中国左侧感染性心内膜炎在术前伴有症状性神经并发症的外科治疗

Surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery in China.

作者信息

Huang Jing-Bin, Lu Chang-Chao, Wen Zhao-Ke, Yang Jian-Rong, Li Jun-Jun

机构信息

Department of Cardiothoracic Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.

出版信息

Front Cardiovasc Med. 2023 Sep 6;10:1217148. doi: 10.3389/fcvm.2023.1217148. eCollection 2023.

DOI:10.3389/fcvm.2023.1217148
PMID:37736022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10510404/
Abstract

INTRODUCTION

We aimed to investigate surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery.

METHODS

This was a retrospective study of patients with left-sided infective endocarditis and symptomatic neurological complications before surgery undergoing cardiac surgery between January 2006 and November 2022 at our hospital.

RESULTS

Eight hundred thirty-two patients were divided into group with symptomatic neurological complications before surgery ( = 112) and without symptomatic neurological complications before surgery ( = 720). There were 48 operative deaths (5.4%). Univariate and multivariate analyses showed that symptomatic neurological complications before surgery is statistically significantly associated with in-hospital mortality following cardiac surgery and prolonged intubation time.

CONCLUSIONS

Our study showed that symptomatic neurological complications before surgery are associated with increased in-hospital mortality following cardiac surgery and prolonged intubation time.

摘要

引言

我们旨在研究术前伴有症状性神经并发症的左侧感染性心内膜炎的外科治疗。

方法

这是一项对2006年1月至2022年11月期间在我院接受心脏手术的术前伴有症状性神经并发症的左侧感染性心内膜炎患者的回顾性研究。

结果

832例患者被分为术前有症状性神经并发症组（n = 112）和术前无症状性神经并发症组（n = 720）。有48例手术死亡（5.4%）。单因素和多因素分析显示，术前症状性神经并发症与心脏手术后的院内死亡率和延长的插管时间在统计学上显著相关。

结论

我们的研究表明，术前症状性神经并发症与心脏手术后院内死亡率增加和插管时间延长有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d34/10510404/ff96f09c34e4/fcvm-10-1217148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d34/10510404/7b8e7979f799/fcvm-10-1217148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d34/10510404/ff96f09c34e4/fcvm-10-1217148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d34/10510404/7b8e7979f799/fcvm-10-1217148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d34/10510404/ff96f09c34e4/fcvm-10-1217148-g002.jpg

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Infective Endocarditis: Still More Challenges Than Convictions.
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The Impact of Neurological Complications in Endocarditis: A Systematic Review and Meta-Analysis.心内膜炎中神经并发症的影响：一项系统评价和荟萃分析。
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