感染性心内膜炎外科诊疗进展

Progress of Surgical Diagnosis and Treatment of Infective Endocarditis

感染性心内膜炎(infective endocarditis,IE)主要由病原微生物引起的心内膜感染,是一种严重的、致病率高的感染性疾病。感染性心内膜炎主要的病理变化为心内膜表面赘生物的形成。外科治疗的主要目的是完全切除感染灶及被感染的组织,以控制感染,尽量减少心力衰竭、栓塞事件等严重并发的发生,提高患者的生存率。本文就感染性心内膜炎的外科诊断、治疗、手术时机、预后等相关文献复习,并作简要阐述,为更好地诊疗感染性心内膜炎提供依据。

Infective endocarditis (IE) is a serious and highly pathogenic infectious disease which is mainly caused by pathogenic microorganisms.The main pathological change of infective endocarditis is the formation of endocardial surface vegetation.The main purpose of surgical treatment is to completely remove the infected lesions and infected tissues to control the infection,minimize the occurrence of serious complications such as heart failure and embolism events,and improve the survival rate of patients.This article reviews the relevant literatures on surgical diagnosis,treatment,operation timing,prognosis of infective endocarditis,and makes a brief explanation to provide a basis for better diagnosis and treatment of infective endocarditis.