感染性心内膜炎和颅内真菌性动脉瘤的手术经验
Operative experience with infective endocarditis and intracerebral mycotic aneurysm.
作者信息
Jara F M, Lewis J F, Magilligan D J
出版信息
J Thorac Cardiovasc Surg. 1980 Jul;80(1):28-30.
The surgical management of eight patients with infective endocarditis and intracerebral mycotic aneurysm is presented. Three patients had craniotomy before valve replacement and four patients had valve replacement before craniotomy. There were no deaths related to the valve replacement or craniotomy. Two of the eight patients died in the hospital of continuing sepsis resulting from undrained foci of infection. It is concluded that the drug-addicted patient with a mycotic aneurysm and hemodynamic decompensation from endocarditis can be successfully treated by staging the operations according to the more severe problem.
本文介绍了8例感染性心内膜炎合并脑内真菌性动脉瘤患者的手术治疗情况。3例患者在瓣膜置换术前进行了开颅手术，4例患者在开颅手术前进行了瓣膜置换。没有与瓣膜置换或开颅手术相关的死亡病例。8例患者中有2例在医院死于因未引流的感染灶导致的持续败血症。结论是，患有真菌性动脉瘤且因心内膜炎导致血流动力学失代偿的药物成瘾患者，可以根据更严重的问题分阶段进行手术，从而成功治愈。
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