Solov'ev G M, Chernov V A, Kovalev S V
Kardiologiia. 1984 Jul;24(7):14-9.
The authors analyze the experience of the treatment of eight patients with primary acute septic endocarditis (SE), 35 patients with rheumatic heart disease complicated by secondary subacute SE, 68 patients with early postsurgery SE including 25 who had had closed mitral comissurotomy, and 43 with prosthetic SE. Surgical treatment consisting in the removal of the infection source (the impaired valve or prosthesis) and the implantation of a new prosthesis should be carried out before the development of irreversible alterations of the internal organs.
作者分析了8例原发性急性感染性心内膜炎(SE)患者、35例风湿性心脏病合并继发性亚急性SE患者、68例早期术后SE患者(其中25例曾行二尖瓣闭式分离术)以及43例人工瓣膜性SE患者的治疗经验。应在内脏器官发生不可逆改变之前,进行包括清除感染源(受损瓣膜或人工瓣膜)和植入新人工瓣膜的手术治疗。