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急性感染性心内膜炎。诊断与治疗方法。

Acute infective endocarditis. Diagnostic and therapeutic approach.

作者信息

Cunha B A, Gill M V, Lazar J M

机构信息

State University of New York School of Medicine, Stony Brook, USA.

出版信息

Infect Dis Clin North Am. 1996 Dec;10(4):811-34. doi: 10.1016/s0891-5520(05)70328-7.

DOI:10.1016/s0891-5520(05)70328-7
PMID:8958170
Abstract

Acute bacterial endocarditis (ABE) is clinically distinct from subacute bacterial endocarditis in terms of pathologic virulence, acuteness and severity of illness, complications, and prognosis. The term infectious endocarditis may be useful as a general term but conveys no meaningful clinical information. ABE presents as an acute, fulminant intracardiac infection with fevers (temperature > 102 degrees F) that are caused by highly virulent known pathogens. Septic embolic phenomena, valve dysfunction, and congestive heart failure are characteristic. Parenteral and oral antibiotic treatment regimens are discussed.

摘要

急性细菌性心内膜炎(ABE)在病理毒力、疾病的急性程度和严重程度、并发症及预后方面与亚急性细菌性心内膜炎在临床上有所不同。感染性心内膜炎这一术语作为一个通用术语可能有用,但并未传达有意义的临床信息。ABE表现为一种由高毒力已知病原体引起的伴有发热(体温>102华氏度)的急性、暴发性心脏内感染。脓毒性栓塞现象、瓣膜功能障碍和充血性心力衰竭是其特征。文中讨论了肠外和口服抗生素治疗方案。

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