Tiurin V P, Akimkin V G, Tikhonov Iu G
Voen Med Zh. 1998 Sep;319(9):44-9, 95.
Clinical study of 172 patients treated in the Burdenko Military Hospital for subacute infectious endocarditis in 1980-1996 compared with 192 cases in 1950-1979. Contemporary course of the disease is attended by a few symptoms, primordiality and single-valve affection. On the grounds of antibiotics sensitivity of the most prevalent infection agents discovered in 1996, the article develops some schemes of antibacterial therapy for Streptococcus, Enterococcus and staphylococcal etiology of disease. Rational antibiotic therapy together with surgery measures reduced lethality to 14.3% for Streptococcus endocarditis, to 16.7%--for Enterococcus and to 34.4%--for Staphylococcus.
对1980 - 1996年在布尔坚科军事医院接受治疗的172例亚急性感染性心内膜炎患者进行的临床研究，并与1950 - 1979年的192例病例进行比较。当前疾病病程伴有少数症状、原发性和单瓣膜受累。基于1996年发现的最常见感染病原体的抗生素敏感性，本文制定了针对链球菌、肠球菌和葡萄球菌病因的疾病的一些抗菌治疗方案。合理的抗生素治疗与手术措施相结合，使链球菌性心内膜炎的致死率降至14.3%，肠球菌性心内膜炎降至16.7%，葡萄球菌性心内膜炎降至34.4%。
