30 cases of infective endocarditis Clinical analysis of.docVIP

 PAGE \* MERGEFORMAT 10 30 cases of infective endocarditis Clinical analysis of [Keywords:] infective endocarditis Infective endocarditis is still a serious and intractable diseases. With the aging population, the increase in cardiac surgery, infective endocarditis prevalence rate has increased, and the variety of clinical manifestations. This study of 30 patients with infective endocarditis (infective endocarditis, IE) in patients with clinical data were retrospectively analyzed in patients with IE in recent years to explore the basis of etiology, pathogenic microorganisms, and clinical manifestations change. 1 Data and methods 1.1 General information selected from May 2000 to August 2007 the First Affiliated Hospital, Zhejiang University City Station Branch medicine IE admitted 30 cases of diagnosed patients, including 21 males and 9 females, aged 18 to 82 years (mean age 47.12 ± 14.35) years of age. In patients with both subacute endocarditis. 1.2 Inspection Method All patients who are hospitalized, regardless of heat or not, are taking conventional blood culture, occurred after admission, such as chills, or body temperatureamp;gt; 38.0 ℃ , re-drawn blood culture. Conventional transthoracic echocardiography, was hospitalized during the noise changes, review transthoracic echocardiography. Transthoracic echocardiography and repeated blood culture were negative, a high degree of suspicion in patients with IE, and further transesophageal echocardiography. 1.3 Diagnostic Criteria diagnosis of IE using Duke University, the new standard [1]. Diagnostic gold standard for surgical or autopsy confirmed the death of vegetation, or intracardiac operation to remove arterial emboli, and with histologically confirmed to be infected, or bacteriology vegetation or emboli. The clinical diagnostic criteria as follows: with two major criteria or one major criterion plus three minor criteria or five minor criteria. One main criteria: ① 2 second positive blood cultures a