??????? infective endocarditis - PowerPoint PPT Presentation

1 / 45
About This Presentation
Title:

??????? infective endocarditis

Description:

infective endocarditis Infective endocarditis IE Infective endocarditis IE ... – PowerPoint PPT presentation

Number of Views:134
Avg rating:3.0/5.0
Slides: 46
Provided by: bill475
Category:

less

Transcript and Presenter's Notes

Title: ??????? infective endocarditis


1
???????infective endocarditis
  • ??????
  • ?? ? ?

2
Infective endocarditis (IE)
  • ??

??? microbe
??? endocardium
??? vegetation
3
(No Transcript)
4
Infective endocarditis (IE)
  • ??

? ? ? ? acute ? ? ? subacute
???? ? ? ?
? ? ????? ?????
???? ?? ??
? ? ? ??? ??????
5
Infective 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
15
Roth?????????,?????
16
Osler???(?)?????????
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)
31
Duke????
  • ??????
  • ???????,?????????,???????????????
  • ??????????,?????????

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
  • ?? ??????
  • ??????
Write a Comment
User Comments (0)
About PowerShow.com