Title: ??????? infective endocarditis
1???????infective endocarditis
2Infective endocarditis (IE)
??? microbe
??? endocardium
??? vegetation
3(No Transcript)
4Infective endocarditis (IE)
? ? ? ? acute ? ? ? subacute
???? ? ? ?
? ? ????? ?????
???? ?? ??
? ? ? ??? ??????
5Infective endocarditis (IE)
- ?????????
- native valve endocarditis
- ????????
- prothetic valve endocarditis
- ?????????
- endocarditis in intravenous drug
abusers -
6 ? ? etiology
- ??? 65 ??????
- ???? 25 ? ???
- ??????????,???,????,???,??????,????????????
7???
????
8????(???) ???????
?????
9(No Transcript)
10????(???)
- ??NBTE(????????)??
- ?????????????
- ???????????
- ???????????????
- ???????????,?????
- ??
11?? pathogenesis and pathology
- ?????????
- ??????????
- ?????
- ??????
12?????clinical manifestations
- ??
- ?????????????
- ??????????????
- ????
- ?????
- ??????
13?????clinical manifestations
??
14?? petechiae
????????? splinter hemorrhage
15Roth?????????,?????
16Osler???(?)?????????
Janeway?? ???????????
17?????clinical manifestations
- ????
- ? ?? ? ? ??? ?? ???
- ??????
- 1 ??splenomegaly
- 2 ??anaemia
- 3 ???/?
18???complication
??
19???complication
?????
20???complication
21???complication
- ??????
- ???
- ???????
- ???
- ?????
- ???
- ??????
22???complication
- ????
- 1??????,
- ???
- 2????????
- ?????
- 3????
23????????Laboratory investigations and other
tests
- ????
- 1?????????
- 2???
- ???
- ??20??????80
- ?????50 ??
24????????Laboratory investigations and other
tests
- ???Bloocl Cullure
- ???
- ?????1???1????3???
- ??????????3???
- ???
- ???????27?????
- ???????3?,???????
25???
26????????Laboratory investigations and other
tests
- ???electrocardiography
- ??????
- ????
27????????Laboratory investigations and other
tests
- ?????
- ???????????
- ?????? 5075
- ??? 95
- ????????????????????
- ?????????
28(No Transcript)
29(No Transcript)
30(No Transcript)
31Duke????
- ??????
- ???????,?????????,???????????????
- ??????????,?????????
32??????
- ?????????????
- ??,??38?
- ????????????????????????Janeway??
- ??????????Osler???Roth?????????
- ?????,??????????
- ?????????IE,??????????
33????
- ? ?????????????
- ???????????????
- ?????????????????
- ???????????????
- ????
34?????
???????
35???treatment
- ????????????
- ????
- ???????????????
- ??????
- ????????????????????????????????????
- ?????????,?????
36???treatment
- ????
- ?? ???? 2g q 4h iv/ivgtt
- ????? 2g q 4h iv ?
- ???? 160240mg qd iv
- ??? ??? 320400? q 46h
- ??????
37???treatment
- ???????
- ??? ?? ?????
- ?? ??????
- ???? ?? ?????????
- ?? ????
- ???? ????B
38???treatment
- ????????????
- ???????????
- ??????
- ????????????
- ?????????,???10mm
- ????????????
- ????????????
39??prognosis
- ????? ?? 4????
- ??? 6?
- ?????? ????? 6070
- ???10???????????
40??prognosis
- ? ????
- ?????
- ??????
- ?????
- ???????????
- ???????
- ??
41?? prognosis
- ? ????
- ????
- ?????
- ??
- ????????
- ????
42??prevention
???
???
43???????? prothetic valve endocarditis
?? ??
? ? ??60?? ??60???
??? ???? ?????? ??? ???
? ? ???? ???
44???????? prothetic valve endocarditis
- ?????????????????
- ??????????????2?
- ????
- ???????,???
- ????
-
45???????? endocarditis in intravenous drug
abusers
- ????
- ?? ???????
- ????,???50
- ?? ??????
- ??????