CAJ | 학술논문

目的：探讨感染性心内膜炎的临床特点，并探讨其临床治疗的方法。方法选取该院在2012年6月-2013年6月期间收治的136例感染性心内膜炎患者，对其临床资料进行回顾性分析。结果感染性心内膜炎血培养的阳性率为57.7%，主要的致病菌为表皮葡萄球菌以及草绿色链球菌；其基础病因中先天性心脏病、风湿性心脏病以及无基础性心脏病所占的比例分别为34.9%、30.2%以及16.7%；主要的临床表现为发热，其次是贫血和脏器栓塞。患者住院期间有14例患者死亡，死亡的原因主要是脑血管意外和心力衰竭。结论感染性心内膜炎的致病菌以及基础病因都发生了较明显的变化，且早期人工瓣膜心内膜炎的致死率较高，应该尽早进行手术治疗。
목적：탐토감염성심내막염적림상특점，병탐토기림상치료적방법。방법선취해원재2012년6월-2013년6월기간수치적136례감염성심내막염환자，대기림상자료진행회고성분석。결과감염성심내막염혈배양적양성솔위57.7%，주요적치병균위표피포도구균이급초록색련구균；기기출병인중선천성심장병、풍습성심장병이급무기출성심장병소점적비례분별위34.9%、30.2%이급16.7%；주요적림상표현위발열，기차시빈혈화장기전새。환자주원기간유14례환자사망，사망적원인주요시뇌혈관의외화심력쇠갈。결론감염성심내막염적치병균이급기출병인도발생료교명현적변화，차조기인공판막심내막염적치사솔교고，응해진조진행수술치료。
Objective To investigate the clinical characteristics of infective endocarditis and the method of clinical treatment. Methods The clinical data of 136 cases of patients with infective endocarditis admitted in our hospital from June, 2012 to June, 2013 were analyzed retrospectively. Results The positive rate of infective endocarditis blood culture was 57.7%, the main pathogens were Staphylococcus epidermidis and Streptococcus viridans; of the primary etiologies of the disease, congenital heart disease, rheumatic heart disease and heart disease accounted for 34.9%, 30.2% and 16.7%, respectively; the main clinical mani-festations were fever, followed by anemia and organ thrombosis. During hospitalization, 14 patients died, the causes of death were mainly cerebrovascular accidents and heart failure. Conclusion The pathogens and primary etymologies of infective endocarditis have undergone obvious changes, and the mortality of early prosthetic valve endocarditis is high, so surgical treatment should be carried out as soon as possible.