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[FISCD2013]肺动脉瓣感染性心内膜炎致肺栓塞一例

作者:  周玉杰  杨士伟   日期:2013/5/30 11:56:58

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患者,女,37岁,因“持续发热2周”入院。两周前出现咳嗽、咳痰伴发热,体温波动于38℃~40 ℃,夜间和清晨最高,胸片示双肺纹理增粗。

  结论

  IPVIE伴发PE是极为罕见的病例,单纯房间隔缺损并不明显增加IE风险,但心房水平左向右分流引起的肺动脉瓣关闭不全是导致IPVIE的主要诱因,这在房间隔缺损患者中应引起重视。RIE患者是化脓性PE的高危人群,规范使用抗生素是最重要的治疗手段,是否需要早期外科干预有待进一步研究。

  参考文献

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感染性心内膜炎肺栓塞IPVIE肺动脉瓣

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