Hata T, Hamanaka S, Tsushima Y, Matsumoto M, Uchita S, Fujiwara K, Furukawa H, Kuroki K, Masuda Z, Otsuka K
Department of Cardiovascular Surgery, Cardiovascular Center Sakakibara Hospital, Okayama, Japan.
Kyobu Geka. 1996 Jul;49(8 Suppl):625-9.
From January 1980, through December 1995, 60 patients underwent surgical treatment of infective endocarditis (IE) at Sakakibara Hospital. Of 60 patients, 40 showed active endocarditis and 20 healed endocarditis at the time of operation. The over-all hospital mortality was 10% (6/60). The complication of cerebral accident (embolism and bleeding) was related to a higher incidence of operative mortality. The reconstructions of destruction and disruption of ventricular-aortic or mitral-aortic continity in the presence of acute infection of the annular tissue were in need of radical and complex surgical techniques. It is recommended to follow up these patients thoughtfully and to perform reoperation or re-reoperation before a patient develops severe heart failure or multiple organ failure.
从1980年1月至1995年12月，酒匂医院对60例感染性心内膜炎（IE）患者进行了手术治疗。60例患者中，40例在手术时表现为活动性心内膜炎，20例为愈合性心内膜炎。总体医院死亡率为10%（6/60）。脑意外（栓塞和出血）并发症与手术死亡率较高相关。在环形组织急性感染的情况下，重建心室-主动脉或二尖瓣-主动脉连续性的破坏和中断需要激进和复杂的手术技术。建议对这些患者进行周密随访，并在患者出现严重心力衰竭或多器官衰竭之前进行再次手术或再次再手术。
