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本文通过35例感染性心内膜炎的临床分析和文献复习,可以看出近年来 IE 有失去典型临床特征的趁势,为提高 IE 的诊断率,对有明显杂音变化的脏病患者,若出现不能解释的发热超过7天以上,就应想到 IE 的可能,亦应仔细查找有关的阳性休征,争取做超声心动图析查和血培养,不必等血培养的结果即抓紧治疗,这样就有可能提高 IE 的治愈率。
In this paper, clinical analysis of 35 cases of infective endocarditis and literature review, we can see that in recent years, IE has lost the typical clinical features of the trend, in order to improve the diagnostic rate of IE, the dirty patients with obvious changes in noise, if not Explain the fever more than 7 days, you should think of the possibility of IE, should also carefully find the relevant positive recuperation, echocardiography and blood culture for etiology and blood culture do not have to wait for the results of blood culture that pay close attention to treatment, so it is possible Improve the cure rate of IE.