感染性心内膜炎共享精品课件.ppt

感染性心内膜炎Infective Endocarditis;概述;Outlines;病因;Etiology;发病机制;Pathogenesy;发病机制;Pathogenesy;发病机制;非细菌性血栓性心内膜炎;发病机制;Pathogenesy;发病机制;Pathogenesis;病理;Pathology;病理;Pathology;病理;Pathology;病理;Pathology;病理;Pathology;临床表现;Clinical manifestation;临床表现;Clinical manifestation;临床表现;Clinical manifestation;临床表现;Clinical manifestation;临床表现;Clinical manifestation;临床表现;Clinical manifestation;并发症;Complication;实验室检查;Laboratory examination;实验室检查;Laboratory examination;诊断;Diagnosis;诊断 DUKE诊断标准 ;诊断 DUKE诊断标准 ;治疗;Treatment;治疗;Treatment;预防;Prevention;预防;Prevention;预后;Prognosis;心包疾病;概 述; Outline;心包炎（pericarditis）;心包炎（pericarditis）;急性心包炎 （acute pericarditis）;急性心包炎 （acute pericarditis）;病 因; Etiology;病 理;Pathology;病 理;Pathology;病 理;Pathology;病 理;Pathology;病 理;Pathology;病 理;Pathology;病 理;Pathology;病理生理;Pathophysiology;临床表现：症状;Clinical manifestation:symptom;临床表现：体征;临床表现：体征;Clinical manifestation：physical sign;实验室检查 ;Laboratory examination ;X-ray;心电图;ECG;ECG;超声心动图;Echocardiogram;Echocardiogram;实验室检查;Laboratory examination;诊 断 ;Diagnosis ;;;非特异性心包炎：主要特点 ;Nonspecific pericarditis;结核性心包炎 ：主要特点;Tuberculous pericarditis;肿瘤性心包炎 ：主要特点;Neoplastie pericarditis;化脓性心包炎 ：主要特点;Purulent pericarditis;风湿性心包炎 ：主要特点;Rheumatic pericarditis;心脏损伤后综合征 ：主要特点;Heart injury syndrome;鉴别诊断;Differential diagnosis;结核性心包炎 早期、足量、联合抗结核药物治疗 化脓性心包炎 足量有效的抗生素 心包穿刺排脓 心包腔内注入抗生素;结核性心包炎 早期、足量、联合抗结核药物治疗 化脓性心包炎 足量有效的抗生素 心包穿刺排脓 心包腔内注入抗生素;治 疗;Treatment;治 疗;治 疗;预 后;Prognosis;缩窄性心包炎;临床表现：症状;Clinical manifestation:symptom;诊断与鉴别诊断;治疗;CASE 1 ;;Physical examination: T 37.5。C，R 30/min，P90bpm， Bp95/65mmHg. Exaggerated breath sound is heard from both lung fields, but no rales. The cardiac dullness is normal. Heart rate: 90bpm, regular rhythm, no heart murmur is heard in the mitral, aortic, pulmonary or tricuspid area, pericardial friction rub is clearly heard in precordial area. The abdomen is soft and flat, liver and spleen cannot be palpated. No foot edema. Laboratory data: N/A;;Case 2;