Smilack J D, Horn V P
Cardiol Clin. 1984 May;2(2):201-10.
Acute infective endocarditis is an important cardiovascular emergency that can be detected with improved diagnostic techniques. In the last few decades we have witnessed a changing spectrum of microorganisms causing infective endocarditis. Successful treatment of infective endocarditis is enhanced by the combined and cooperative efforts of the internist and the surgeon. In this article, we have discussed the clinical evaluation, laboratory techniques, and noninvasive studies by which proper diagnosis can be made and appropriate antimicrobial therapy instituted. We have also reviewed the indications for surgical intervention. With careful clinical evaluation and proper application of the diagnostic and therapeutic modalities, acute infective endocarditis can often be cured.
急性感染性心内膜炎是一种重要的心血管急症，借助改进的诊断技术可得以检测。在过去几十年里，我们目睹了引起感染性心内膜炎的微生物谱的变化。内科医生和外科医生的联合协作努力提高了感染性心内膜炎的治疗成功率。在本文中，我们讨论了临床评估、实验室技术以及非侵入性检查，通过这些可以做出正确诊断并制定适当的抗菌治疗方案。我们还回顾了手术干预的指征。通过仔细的临床评估以及正确应用诊断和治疗方法，急性感染性心内膜炎常常可以治愈。
