二维超声心动图在感染性心内膜炎中的应用

The application of two-dimensional echocardiography in infective endocarditis

为了解超声心动图在感染性心内膜炎（ＩＥ）的诊断、预后判断及治疗方式选择中的价值，本文分析了４１例ＩＥ患者的临床及超声心动图资料。结果表明：超声心动图不仅对ＩＥ的心内赘生物有很高的诊断率，而且所发现的赘生物大小、部位、活动情况、瓣膜关闭不全及其严重程度、有无瓣膜结构破坏或瓣周脓肿形成，不仅是判断ＩＥ患者预后的指标，且有助于临床选择合理的治疗方式。

In order to understand the value of echocardiography in infective endocarditis(IE)for establishment of diagnosis,prediction of prognosis and choice of therapy method,the clinical and echocardiographic data of 41 patients with IE were analysed in this study.The results showed that the two-dimensional echocardiography not only had high diagnostic accuracy, but predicted the prognosis through assessing the size of endocardial vegetation,location,movement,severity of heart valve regugitation,damage of valvular structure,formation of paravalvular abscess in patients with IE. It wassuitable to use echocardiography in making the choice of proper treatment as early as possible.