【摘要】 本文对我院1970～1989年6月收治的80例感染性心内膜炎进行分析。大多数(82.5%)发生在器质性心脏病基础上,其中以风湿性心脏病居首位,先天性心脏病次之。心脏术后感染占5.0%;原来无心脏病者占12.5%。72例进行血培养,阳性率为41.7%,其中金黄色葡萄球菌占33.3%;甲型溶血性链球菌占23.3%;白色葡萄球菌占13.3%;草绿色链球菌占6.7%。40例行超声心动图检查,阳性率为57.5%。本组误诊占36.3%,治愈37.5%,死亡28.8%。本病的预后,主要取决于能否早期诊断和治疗。更多还原

【Abstract】 The clinical data of 80 cases ad-mitted patients With infective endoc-arditis were analysed from 1970 to Ju-ne,1989.In most cases(82.5%)infectiveendocarditis developed on pre-exi-sting organic cardiac lesions with rh-eumatic heart disease ranked first andcongenital heart disease second.Posto-perative infection of heart was 5.0%.Healthy heart was associated with th-is disease in only 12.5%.Blood cultur-es of 72 cases were positive in 41.7%,including Staphylococcus aureus in33.3%,group A betahemohytic strepto-cocci in 23.3%,Staphylococcus albusin 13.3% and streptococccus viridansin 6.7%.Examination of 40 cases wi-th ultrasonic cardiogram or Cross-Sectional ultrasonic Cardiogram Wer-e positive in 57.5%.Misdiagnosed rat(?)e was 36.3%.healing rate was 37.5%,mortality was 28.8% of the 80 cases.Pr-ognosis of the disease was dependenton early diagnosis mainly and treatm-ent in time.更多还原