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頁籤選單縮合
題名 | Isolated Pulmonic Valve Endocarditis=單純性肺動脈心內膜炎 |
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作者 | 胡順安; 林義鈜; 許哲翰; 江韶岳; | 書刊名 | 澄清醫護管理雜誌 |
卷期 | 2:3 民95.07 |
頁次 | 頁40-45 |
分類號 | 415.3164 |
關鍵詞 | 肺動脈瓣心內膜炎; 金黃色葡萄球菌; 經胸廓心臟超音波; 經食道心臟超音波; Pulmonic valve endocarditis; Staphylococcus aureus; Transthoracic echocardiograph; Transesophageal echocardiography; |
語文 | 英文(English) |
中文摘要 | 單純性肺動脈瓣心內膜炎是種較少見的臨床疾病,而引起肺動脈瓣心內膜炎的促 進因子包括:先天性肺動脈瓣異常、靜脈注射藥物濫用者以及放置靜脈內肺動脈 導管等。 本文報告的是一位單純性肺動瓣併發多處敗血性血桂的個案:此個案因血液培養 結果為抗methicillin金黃色葡萄球菌(MRSA),因而接受teicoplanin的治療,但由於 肺動脈瓣贅生物在治療中變大以及多處敗血性血挂,因此最後接受手術治療。 本文並將單純性肺動脈瓣疾病之診斷、臨床檢查及治療做一回顧。 |
英文摘要 | Isolated pulmonic valve endocarditis is an uncommon clinical entity. The predisposing factors developing pulmonic valve endocarditis inculde a congenitally anomalous pulmonic vauve, intravenous drug abuse,and the presence of indwelling intravenous or flow-directed pulmonary artery catheters .We report are expericnce with a patient diagnosed with isolated pulmonic valae endocarditis complicated with multiple septic emboli from our institution.He was ireated with teicoplanin based on the blood culture which ylelded methicillin-resistance Staphylococcus aureus.Unfortunatery,the pulmonic valve vegetation enlarged during the treatment course and surgical intervention was performed under the surgical indication.The literature on the isolated pulmonic valve endocarditis is reviewed |
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