小儿金黄色葡萄球菌败血症并发心内膜炎的早期诊断及治疗

Early Diognosis and Treatment of Children Staphylococus Aureus Septicemia with Infective Endocarditis

目的 :探讨金黄色葡萄球菌 (简称金葡 )败血症并发急性心内膜炎的早期诊断方法及治疗措施。方法 :对金葡败血症患儿系统监测心脏杂音、心电图、超声心动图 ,除常规治疗外 ,发生急性充血性心力衰竭时 ,加用扩管药物。结果 :金葡败血症并发心内膜炎发生率 5 .7% ,占同期急性感染性心内膜炎的 4 0 .6 % ,死亡率 38.4 6 %。结论

Objective: To discuss early diagnostic methods and treatment measures of staphylococus aureus septicemia(SAS) with infective endocarditis. Methods: To supervise heart noise and electrocardiogram and Doppler echocardiography of SAS children, if the acute conjestive heart failure happened to the children,used expand vessel drugs in addition to routine therapy was used. Results: There were 5.7% SAS children with infective endocarditis, accounted for 40.6% of the acute infective endocarditis children at the same period, and mortality was 38.46%. Conclusion: Early diognosis and rapid correct treatments are important measures to reduce mortality.