A. Sun, J. Hui, Jun-hua Yang, Su-dan Xu, Huifeng Wang
{"title":"感染性心内膜炎的临床特点及超声心动图的诊断价值","authors":"A. Sun, J. Hui, Jun-hua Yang, Su-dan Xu, Huifeng Wang","doi":"10.3760/CMA.J.ISSN.1673-4904.2000.09.010","DOIUrl":null,"url":null,"abstract":"Objective:To study the clinical character of infective endocarditis (IE) and the diagnostic value of echocardiography to IE.Methods:The clinical and echocardiographic information of 78 patients was analysed.Results:Basic heart diseases in 66 patients (84.6%) and vegetations in 51 patients (65.4%) were found.A total of 65 blood bacterial culture studies were porformed,and positive only in 16 cases (24.6%).The incidence of fever,enlarged spleen,embolism and death was 83.8%,52.6%,19.2% and 9.0% respectively.Conclusion:The decrease of positive blood culture and lack of typical symptoms make it diffcult to diagnose IE and then delay treatment.Echocardiography can provide etiological and pathological diagnose for IE.As a valuable tool,it can also assess the complications and prognosis.","PeriodicalId":10229,"journal":{"name":"中国医师进修杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2000-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"THE CLINICAL CHARACTER OF INFECTIVE ENDOCARDITIS AND THE DIAGNOSTIC VALUE OF ECHOCARDIOGRAPHY\",\"authors\":\"A. Sun, J. Hui, Jun-hua Yang, Su-dan Xu, Huifeng Wang\",\"doi\":\"10.3760/CMA.J.ISSN.1673-4904.2000.09.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective:To study the clinical character of infective endocarditis (IE) and the diagnostic value of echocardiography to IE.Methods:The clinical and echocardiographic information of 78 patients was analysed.Results:Basic heart diseases in 66 patients (84.6%) and vegetations in 51 patients (65.4%) were found.A total of 65 blood bacterial culture studies were porformed,and positive only in 16 cases (24.6%).The incidence of fever,enlarged spleen,embolism and death was 83.8%,52.6%,19.2% and 9.0% respectively.Conclusion:The decrease of positive blood culture and lack of typical symptoms make it diffcult to diagnose IE and then delay treatment.Echocardiography can provide etiological and pathological diagnose for IE.As a valuable tool,it can also assess the complications and prognosis.\",\"PeriodicalId\":10229,\"journal\":{\"name\":\"中国医师进修杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2000-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国医师进修杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.09.010\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国医师进修杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.09.010","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
THE CLINICAL CHARACTER OF INFECTIVE ENDOCARDITIS AND THE DIAGNOSTIC VALUE OF ECHOCARDIOGRAPHY
Objective:To study the clinical character of infective endocarditis (IE) and the diagnostic value of echocardiography to IE.Methods:The clinical and echocardiographic information of 78 patients was analysed.Results:Basic heart diseases in 66 patients (84.6%) and vegetations in 51 patients (65.4%) were found.A total of 65 blood bacterial culture studies were porformed,and positive only in 16 cases (24.6%).The incidence of fever,enlarged spleen,embolism and death was 83.8%,52.6%,19.2% and 9.0% respectively.Conclusion:The decrease of positive blood culture and lack of typical symptoms make it diffcult to diagnose IE and then delay treatment.Echocardiography can provide etiological and pathological diagnose for IE.As a valuable tool,it can also assess the complications and prognosis.