摘要: |
当有心脏基础疾病或有心脏手术史的患者出现不明原因的发热时, 我们应该警惕感染性心内膜炎(infective endocarditis,IE)的可能。虽然我们在临床上对有IE高危因素者进行积极预防,但是IE的发生率仍在升高,且心脏结构正常的IE 患者比例亦显著增加。在小儿IE 流行病学上,也存在类似情况,可能与早产儿和慢性病患儿在治疗过程中留置中心静脉导管有关。本文指出肥胖、糖尿病、高血压也可能是小儿IE的危险因素,重点阐述小儿正常心脏结构IE 的发病机制,以期为IE 的防治提供参考。 |
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DOI:10.13407/j.cnki.jpp.1672-108X.2017.05.020 |
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Pathogenesis of Infective Endocarditis in Children with Normal Cardiac Structure |
Hu Qian, Chen Yuan |
(Children’s Hospital of Chongqing Medical University, Training Base of Clinical Resident Standard Training in Chongqing, Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Chongqing 400014, China)) |
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