摘要
目的 :探讨金黄色葡萄球菌 (金葡菌 )性右心感染性心内膜炎 (RHIE)的临床表现特点和诊治。方法 :对 4 2例病人进行临床资料分析。结果 :本组病人均有静脉注射毒品史 ,临床表现为金葡菌血症和肺栓塞 ,肺部症状表现突出 ,超声心动图(UCG)示均有右心内膜赘生物。经 4～ 6周抗炎治疗 ,38例痊愈。结论 :临床有静脉滥用药物史、金葡菌败血症和肺栓塞 ,必须考虑RHIE ,UCG对确诊RHIE起决定性作用。经有效抗生素的系统治疗 ,预后一般良好。
Objective:To investigate the clinical manifestations,diagnosis and treatment of right heart infective endocarditis(RHIE) caused by Staphylococcus aureus(S.aureus).Method:The clinical data of 42 cases with RHIE of caused by S.aureus were analysed.Resulst:All patients had history of intravenous drug abuse,clinical manifestations of septicaemia and pulmonary emboli caused by S.aureus.UCG revealed that they had right heart endocardiac vegatations.After undergoing antibiotic therapy for 4～6 weeks,38 cases were cured.Conclusion:If a patient has the triad of intravenous drug addiction,Staphylococcus septicamia and pulmonary emboli,clinicians should not neglect the possible existence of RHIE.UCG plays an important role in the diagnosis of RHIE.Generally the prognosis is good after effective course of antibiotic therapy is given.
出处
《广西医学》
CAS
2003年第11期2138-2140,共3页
Guangxi Medical Journal
