感染性心内膜炎的诊治进展

1500040303/4Duke75AHAWilliamOsler1885LazarusRiverius15891655GiovanniLancisi165417201819MorgagniCorvisart19Osler1885OslerOslerOsler10Hogevik19841988IE5.9/1000009.29/1000005.02/10000019912.43/1000003.1/10000014.5/10000030IEIEIEIEA,C,G1091011782483/41900s1/4123010205115060AIMRTR202523223152510151015510CNS3412/14113/100021.2/10006675153126/1970sPelletierPetersdorf301981vonReynDuke1994DukeDurackIE234IE72P-RP-RACEIP-RINR2.08Cagedball3APTT5065CNSCTMRICNSIE72KINR2.050152013040206mmOR2.48OR2.06OR2.79IVDU60802030IE15IE520IVDUIEC.albicansIVDUIE70IEIVDUIE5IVDUIVDUIE2IVDUIEIVDUIEIVDUIVDUIE1IE/22cmTTE121.43.153.05.710302PVE56PVE60PVE5PVETTETEEPVETTETEE1990s42124IEIEIECNS23124EmergencysurgeryIII24UrgentsurgeryIIIIV410Earlysurgery10mmMRSAIE(gentamicin)3546MRSAIEHACEKIE346IEB12I2.0g50mg/kg1II2.0g50mg/kg30minimivIII//600mg20mg/kg1or2.0g50mg/kg1Or500mg15mg/kg1IV//600mg20mg/kg30minivorcefazolin1.0g25mg/kg30minimivI2.0g50mg/kg1.5mg/kg120mg30minimiv61.0g25mg/kgimiv1.0g25mg/kgII/1.0g20mg/kgiv121.5mg/kg120mgimiv30minIII2.0g50mg/kg1Or2.0g50mg/kg30minimivIV/1.0g20mg/kgiv1230min