The Clinical Study Of Infective Endocarditis

Objective: To summarize of infective endocarditis (IE) and to explore the clinical features of treatment and prognostic factors. Methods: 136 cases with IE from January 2000 to January 2011 were retrospectively analysized by patients'history, clinical symptoms, results of laboratory tests, diagnosis, therapy and other related indexes. In accordance with the surgery and divided into two groups of non-surgical treatment compared to analyze the early results. Of which 74 cases surgically treated patients, 59 patients with non-surgical treatment.Results: The age of onset was (33±4.3) year. The results of Blood tests showed disorders .Clinical manifestations are various. The overall early mortality rate was 14.71%. Non-surgical treatment group after treatment of acute heart failure, serious arrhythmias, severe thrombosis was higher than surgical group, 59 cases of non-surgical treatment in 12 cases (20.34%) died, 74 patients in the surgical treatment of 8 patients (10.81%) died. 5. All the patients in age, sex distribution, antibiotic treatment, clinical presentation, Difference was statistically significant (p <0.05), IE diagnosis prognosis after surgery than medical treatment in time.Conclusion: In recent years significantly increased in patients with IE, the types of pathogens increasing , and atypical clinical manifestations. Individual timely surgical treatment and surgery in myocardial protection, perioperative treatment plays an important role in reducing mortality. Surgical treatment is better than conservative medical treatment.