感染性心内膜炎合并动脉栓塞的临床研究(附16例报告)

Clinical analysis of infective endocarditis combined arterial embolism

目的 探讨感染性心内膜炎 (IE)合并动脉栓塞的临床特点及其诊治。方法 对 16例该病病例进行临床资料分析。结果 IE合并动脉栓塞发生率为 30 19% ,经治疗后 ,近期好转者 3例 (18 75 % )、无效出院者 3例(18 75 % )、死亡者 10例 (6 2 5 % )。结论 IE合并动脉栓塞除有一般IE的临床表现外 ,还存在不同部位栓塞的临床特点。IE合并动脉栓塞死亡率很高 ,积极的内科治疗或手术治疗是预防其发生的有效方法。

Objective To explore the clinical and diagnostic characters of infective endocarditis (IE) combined arterial embolism. Methods The clinical data of 16 cases were analysed. Results The morbidity rate of IE combined arterial embolism in IE was 30.19%, cerebral embolism 10 cases, pulmonary embolism 2 cases, splenic 1 case, cerebral and renal embolism 1 cases, mesenteric and extremity embolism 1 cases, extremity embolism 1 cases. Through treatment, 3 cases (18.75%) were improved recently, 3 cases (18.75%) were discharged for effectiveless, 10 cases (62.5%) were died. Conclusion Beside the general clinical symptoms of IE, there were different clinical characters with different embolism sites. Colour Doppler echocardiography examination had very value on clinical diagnosis of IE. The death rate of IE combined arterial embolism was high, active medical or surgical treatment was the preventive method for its happening.