5.14 感染性心内膜炎、心瓣膜病.pptVIP

Infective endocarditis (IE) is a microbial infection of the endothelial surface of the heart. Acute IE Subacute IE The characteristic lesion-IE The vegetation, is a variably sized amorphous mass of platelets and fibrin in which abundant microorganisms and moderate inflammatory cells are enmeshed. Acute IE Acute IE arises with marked toxicity progresses over days to several weeks to valvular destruction and metastatic infection. Acute IE is caused typically, although not exclusively, by Staphylococcus aureus (金黄色葡萄球菌). Subacute IE Subacute IE evolves over weeks to months with only modest t