摘要
本文在国内首次报道2例静脉毒瘾者金黄色葡萄球菌性感染性右心内膜炎(SIRED),其临床特点:①常合并有肝炎病毒感染;②确诊有赖于心脏超声检查发现三尖瓣赘生物、细菌的毒血症状及血培养的结果;③治疗应根据药敏结果选择2至3种敏感的抗生素联用,其剂量应比常规量大2至3倍,疗程6至8周或更长;④有效治疗后。
Two cases of staphylococcus aureus infective right-sided endocarditis in intravenous drug users SIRED were reported and the relevant literatures were reviewed The main clinical characteristics of SIRED are:① hepatitic virus infection is a common complication of SIRED;② confirmed diagnosis of SIRED is dependent on cardiac echo,toxemia and bacterial culture;③It is very important to choose the effective antibiotics according to the result of antibiotic sensitivity test Generally,2 to 3 kinds of sensitive antibiotics in the dosages of 2 to 3 times above the routine are used The duration of the treatment is between 6 and 8 weeks or even longer;④After the effective therapy,the prognosis of SIRED is favourable
出处
《蛇志》
1997年第3期58-59,共2页
Journal of Snake
关键词
金黄色葡萄球菌
感染性
心膜炎
静脉毒瘾
Staphylococcus Aureus\ Infective endocarditis \ Intravenous drug user