Tỉ lệ biến chứng và tử vong ở bệnh nhân viêm nội tâm mạc nhiễm khuẩn

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Tác giả: Văn Sỹ Hoàng, Công Duy Trần

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam 2023

Mô tả vật lý: 212-215

Bộ sưu tập: Metadata

ID: 409169

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Tóm tắt
Chủ đề

Khảo sát tỉ lệ biến chứng và tử vong nội viện ở bệnh nhân VNTMNK. Đối tượng và phương pháp nghiên cứu: hồi cứu, cắt ngang mô tả ở các bệnh nhân điều trị nội trú tại bệnh viện Chợ Rẫy từ 01/2015 đến 12/2019 thỏa tiêu chuẩn Duke cải biên về chẩn đoán xác định và chẩn đoán có thể VNTMNK. Kết quả: 201 bệnh nhân VNTMNK nhập viện trong 5 năm. Tuổi trung bình của bệnh nhân là 42,2 ± 15,3. Nam giới chiếm 65,2%. Các biến chứng của VNTMNK gồm có suy tim cấp (10,4%)
áp xe quanh van (16,4%)
choáng nhiễm khuẩn (7,0%)
nhồi máu não (12,9%)
xuất huyết não (10,9%)
nhồi máu lách (9,5%)
nhồi máu thận (5,5%) và thuyên tắc động mạch khác (5,0%). Tỉ lệ tử vong nội viện là 15,9%. Kết luận: Tỉ lệ biến chứng và tử vong ở bệnh nhân VNTMNK vẫn còn cao và cần giảm đáng kể hơn nữa trong tương lai., Tóm tắt tiếng anh, to survey the rate of complications and mortality in patients with IE. Subjects and methods: a retrospective, cross-sectional and descriptive study was conducted in patients who were admitted to Cho Ray Hospital from January 2015 to December 2019 and fulfilled the modified Duke criteria for definite or possible diagnosis of IE. Results: There were 201 patients with IE hospitalized for five years. The mean age of patients was 42.2 ± 15.3 years. Men account for 65.2%. The complications in IE included acute heart failure (10.4%)
perivalvular abscess (16.4%)
septic shock (7.0%)
cerebral infarction (12.9%)
cerebral hemorrhage (10.9%)
spleen infarction (9.5%)
renal infarction (5.5%) and other arterial embolism (5.0%). The in-hospital mortality was 15.9%. Conclusions: The rate of complications and mortality in IE remains high and needs to be decreased more significantly in the future.

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