新生儿心内膜炎
Endocarditis in the newborn.
作者信息
McGuinness G A, Schieken R M, Maguire G F
出版信息
Am J Dis Child. 1980 Jun;134(6):577-80. doi: 10.1001/archpedi.1980.02130180035011.
Three cases of endocarditis confirmed at autopsy were identified in an intensive care nursery during an eight-month period. Echocardiography demonstrated abnormal echoes in the region of the mitral valve in one infant and the tricuspid valve in the other two infants. Both the diverse clinical manifestations of bacterial and nonbacterial endocarditis and the value of echocardiography in the establishment of an antemortem diagnosis are discussed. This previously unusual entity seems to be occurring with greater frequency in neonatal intensive care units that provide vigorous efforts to support severely ill infants.
在八个月的时间里，在一家重症监护托儿所发现了三例尸检确诊的心内膜炎病例。超声心动图显示，一名婴儿的二尖瓣区域及另外两名婴儿的三尖瓣区域有异常回声。本文讨论了细菌性和非细菌性心内膜炎的不同临床表现以及超声心动图在生前诊断中的价值。这种以前不常见的病症似乎在为重症婴儿提供大力支持的新生儿重症监护病房中出现得越来越频繁。
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