{"id":58688,"date":"2025-10-10T05:10:21","date_gmt":"2025-10-10T05:10:21","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=58688"},"modified":"2025-10-10T05:10:21","modified_gmt":"2025-10-10T05:10:21","slug":"%e3%80%90%e6%8c%87%e5%8d%97%e8%a7%a3%e8%af%bb%e3%80%912023%e6%ac%a7%e6%b4%b2%e5%bf%83%e8%84%8f%e5%ad%a6%e4%bc%9a%e5%bf%83%e5%86%85%e8%86%9c%e7%82%8e%e7%ae%a1%e7%90%86%e6%8c%87%e5%8d%97%e7%9a%84","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=58688","title":{"rendered":"\u3010\u6307\u5357\u89e3\u8bfb\u30112023\u6b27\u6d32\u5fc3\u810f\u5b66\u4f1a\u5fc3\u5185\u819c\u708e\u7ba1\u7406\u6307\u5357\u7684\u89e3\u8bfb"},"content":{"rendered":"<p>\u672c\u6587\u5c06\u53d1\u8868\u4e8e\u300a\u4e2d\u534e\u5fc3\u8840\u7ba1\u75c5\u6742\u5fd7\u300b2023\u5e7412\u671f\uff0c\u672c\u5fae\u4fe1\u5185\u5bb9\u548c\u6700\u7ec8\u7248\u53ef\u80fd\u5b58\u5728\u51fa\u5165\uff0c\u4ee5\u6700\u7ec8\u671f\u520a\u53d1\u8868\u5185\u5bb9\u4e3a\u51c6\u3002<\/p>\n<p>\u4f5c\u8005:&nbsp;\u623f\u4e4b\u6c82&nbsp; \u66f9\u4e30<\/p>\n<p>\u5355\u4f4d\uff1a\u89e3\u653e\u519b\u603b\u533b\u9662\u7b2c\u4e8c\u533b\u5b66\u4e2d\u5fc3\u5fc3\u5185\u79d1 \u56fd\u5bb6\u8001\u5e74\u75be\u75c5\u4e34\u5e8a\u533b\u5b66\u7814\u7a76\u4e2d\u5fc3\uff08\u89e3\u653e\u519b\u603b\u533b\u9662\uff09<\/p>\n<p>\u901a\u4fe1\u4f5c\u8005\uff1a\u66f9\u4e30<\/p>\n<p>\u6458\u8981\u6b27\u6d32\u5fc3\u810f\u75c5\u5b66\u4f1a\uff08ESC\uff09\u57282023\u5e748\u6708\u7684\u8377\u5170\u5e74\u4f1a\u4e0a\u53d1\u5e03\u4e86\u300a2023 ESC\u5fc3\u5185\u819c\u708e\u7ba1\u7406\u6307\u5357\u300b\uff0c\u57282015\u5e74\u6307\u5357\u7684\u57fa\u7840\u4e0a\u65b0\u589e\u4e86\u8fd1\u5e74\u6765\u5728\u5fc3\u5185\u819c\u708e\u9886\u57df\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\uff0c\u66f4\u65b0\u4e86\u5fc3\u5185\u819c\u708e\u7684\u8bca\u65ad\u6807\u51c6\u3001\u75be\u75c5\u98ce\u9669\u5206\u5c42\u53ca\u9884\u9632\u3001\u836f\u7269\u6cbb\u7597\u65b9\u6848\u548c\u624b\u672f\u65f6\u673a\u7b49\u65b0\u7684\u63a8\u8350\u3002\u8be5\u6587\u4e3b\u8981\u5c31\u65b0\u6307\u5357\u7684\u66f4\u65b0\u5185\u5bb9\u8fdb\u884c\u89e3\u8bfb\u3002\u6b63&nbsp; &nbsp;\u65872015\u5e748\u6708\u6b27\u6d32\u5fc3\u810f\u75c5\u5b66\u4f1a\uff08European Society of Cardiology\uff0cESC\uff09\u7684\u611f\u67d3\u6027\u5fc3\u5185\u819c\u708e\uff08infective endocarditis\uff0cIE\uff09\u6307\u5357\u53d1\u5e03\uff0c\u6b64\u540e\u51e0\u5e74\u65b0\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u4e0d\u65ad\u66f4\u65b0\uff0c\u65b0\u7684\u4e34\u5e8a\u5b9e\u8df5\u7ecf\u9a8c\u4e0d\u65ad\u79ef\u7d2f<sup>[1]<\/sup>\u30022023\u5e74ESC\u5e74\u4f1a\u671f\u95f4\uff0c\u201c2023\u5e74ESC\u5fc3\u5185\u819c\u708e\u7ba1\u7406\u6307\u5357\u201d<sup>[2]<\/sup>\u53d1\u5e03\u3002\u57fa\u4e8e2015\u5e74ESC\u6307\u5357\uff0c\u65b0\u6307\u5357\u57287\u4e2a\u4e3b\u9898\u4e2d\u589e\u52a0\u4e8642\u4e2a\u65b0\u63a8\u8350\uff0c\u5e76\u5bf96\u9879\u4e3b\u9898\u768423\u4e2a\u63a8\u8350\u8fdb\u884c\u4e86\u7ea7\u522b\u8c03\u6574\uff0c\u5305\u542b\u8bca\u65ad\u6807\u51c6\u3001\u6297\u751f\u7d20\u9884\u9632\u4e0e\u6cbb\u7597\u3001\u624b\u672f\u65f6\u673a\u4e0e\u6307\u5f81\u7b49\u591a\u9879\u5185\u5bb9\u3002\u4e00\u3001\u9884\u9632\u7b56\u7565\u66f4\u52a0\u89c4\u8303\u5168\u4e16\u754c\u6bcf\u5e74\u6709\u8d85\u8fc766 000\u4f8b\u60a3\u8005\u56e0\u5fc3\u5185\u819c\u708e\u53ca\u5e76\u53d1\u75c7\u6b7b\u4ea1\uff0c\u56e0\u6b64\u6b63\u786e\u8bc4\u4f30\u60a3\u8005\u98ce\u9669\uff0c\u5236\u5b9a\u89c4\u8303\u5316\u3001\u4e2a\u6027\u5316\u9884\u9632\u7b56\u7565\u81f3\u5173\u91cd\u8981<sup>[3]<\/sup>\u30022015\u5e74ESC\u6307\u5357\u5efa\u8baeIE\u9ad8\u98ce\u9669\u60a3\u8005\u5747\u5e94\u5728\u7259\u79d1\u624b\u672f\u65f6\u8fdb\u884c\u6297\u751f\u7d20\u9884\u9632\uff08\u2160C\uff09\uff0c\u65b0\u6307\u5357\u6839\u636e\u8fd1\u5e74\u6765\u7684\u5927\u578b\u4e34\u5e8a\u7814\u7a76\u6210\u679c\uff0c\u89c4\u8303\u4e86\u4e0d\u540c\u98ce\u9669\u60a3\u8005\u5728\u4e0d\u540c\u573a\u666f\u4e0b\u7684\u6297\u751f\u7d20\u9884\u9632\u7b56\u7565\u3002\u5bf9\u4e8e\u9ad8\u98ce\u9669\u548c\u4e2d\u98ce\u9669\u4eba\u7fa4\uff0c\u6307\u5357\u63a8\u8350\u5728\u9ad8\u5371\u7259\u79d1\u624b\u672f\u524d\u91c7\u53d6\u4e00\u822c\u9884\u9632\u63aa\u65bd\uff08\u2160C\uff09\uff0c\u4f46\u5176\u4ed6\u60c5\u51b5\u4e0b\u4e0d\u63a8\u8350\u91c7\u7528\u6297\u751f\u7d20\u9884\u9632<sup>[4]<\/sup>\u3002\u5bf9\u4e8e\u63a5\u53d7\u547c\u5438\u9053\u3001\u80c3\u80a0\u9053\u3001\u6ccc\u5c3f\u751f\u6b96\u7cfb\u7edf\u3001\u76ae\u80a4\u6216\u808c\u8089\u9aa8\u9abc\u7cfb\u7edf\u4fb5\u5165\u6027\u8bca\u65ad\u6216\u6cbb\u7597\u7684\u9ad8\u98ce\u9669\u4eba\u7fa4\uff0c\u53ef\u8003\u8651\u5168\u8eab\u6297\u751f\u7d20\u9884\u9632\uff08\u2161b C\uff09\u3002\u540c\u65f6\uff0c\u6307\u5357\u6307\u51fa\u5f3a\u5316\u9ad8\u98ce\u9669\u4eba\u7fa4\u7684\u6559\u80b2\u662f\u9884\u9632IE\u7684\u91cd\u8981\u57fa\u7840\u3002\u6307\u5bfc\u9ad8\u98ce\u9669\u60a3\u8005\u7ef4\u6301\u826f\u597d\u7684\u53e3\u8154\u536b\u751f\uff08\u6bcf\u5929\u4f7f\u7528\u7259\u7ebf\uff0c\u65e9\u665a\u6e05\u6d01\u7259\u9f7f\uff0c\u5b9a\u671f\u4e13\u4e1a\u6d01\u7259\uff09\uff0c\u4fdd\u6301\u76ae\u80a4\u6e05\u6d01\uff08\u5c3d\u91cf\u51cf\u5c11\u76ae\u80a4\u635f\u4f24\uff0c\u89c2\u5bdf\u76ae\u80a4\u611f\u67d3\u75c7\u72b6\uff0c\u907f\u514d\u6587\u8eab\uff09\uff0c\u54a8\u8be2\u5168\u79d1\u533b\u751f\u8bca\u6cbb\u65e0\u660e\u663e\u75c5\u56e0\u7684\u53d1\u70ed\uff0c\u907f\u514d\u81ea\u884c\u4f7f\u7528\u6297\u751f\u7d20\u7b49\uff0c\u5747\u80fd\u663e\u8457\u964d\u4f4e\u60a3\u75c5\u7387\u3002\u6b64\u5916\uff0c\u6307\u5357\u5bf9\u4e8e\u8fd1\u5e74\u6765\u8fc5\u901f\u53d1\u5c55\u7684\u5fc3\u8840\u7ba1\u7f6e\u5165\u7535\u5b50\u8bbe\u5907\uff08cardiovascular implanted electronic device\uff0cCIED\uff09\u548c\u4ecb\u5165\u624b\u672f\u4e5f\u63d0\u51fa\u4e86\u65b0\u7684\u5efa\u8bae\u3002\u6307\u5357\u63a8\u8350\u672f\u524d\u5bf9\u7f6e\u5165\u90e8\u4f4d\u91c7\u53d6\u4e25\u683c\u7684\u65e0\u83cc\u63aa\u65bd\u9884\u9632\u533b\u6e90\u6027\u611f\u67d3\uff08\u2160B\uff09<sup>[5]<\/sup>\uff0c\u5728\u4ecb\u5165\u5bfc\u7ba1\u5ba4\u5185\u7684\u5404\u7c7b\u4ecb\u5165\u64cd\u4f5c\u91c7\u7528\u5916\u79d1\u6807\u51c6\u7684\u65e0\u83cc\u63aa\u65bd\uff08\u2160C\uff09\u3002\u5728\u7ecf\u5bfc\u7ba1\u4e3b\u52a8\u8109\u74e3\u7f6e\u5165\u672f\u548c\u5176\u4ed6\u7ecf\u5bfc\u7ba1\u74e3\u819c\u624b\u672f\u524d\uff0c\u9488\u5bf9\u5e38\u89c1\u7684\u76ae\u80a4\u83cc\u7fa4\uff08\u5305\u62ec\u80a0\u7403\u83cc\u548c\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\uff09\u8fdb\u884c\u6297\u751f\u7d20\u9884\u9632\uff08\u2161a C\uff09\u3002\u74e3\u819c\u4fee\u590d\u624b\u672f\u540e\uff0c\u5728\u6ca1\u6709\u6b8b\u7559\u7f3a\u9677\u6216\u74e3\u819c\u5047\u4f53\u7684\u60c5\u51b5\u4e0b\uff0c\u5728\u672f\u540e6\u4e2a\u6708\u5185\u4f7f\u7528\u6297\u751f\u7d20\u9884\u9632\uff08\u2160C\uff09\u3002\u4e8c\u3001\u8bca\u65ad\u6807\u51c6\u66f4\u52a0\u7cbe\u7ec6\u65b0\u6307\u5357\u57282015\u5e74ESC\u6307\u5357\u57fa\u7840\u4e0a\uff0c\u5728\u8840\u57f9\u517b\u9634\u6027\u7684\u5fc3\u5185\u819c\u708e\uff08blood culture-negative infective endocarditis\uff0cBCNIE\uff09\u7684\u8bca\u65ad\u3001\u5f71\u50cf\u6280\u672f\u5728\u5e76\u53d1\u75c7\u8bca\u65ad\u7684\u5e94\u7528\u7b49\u65b9\u9762\u7ed9\u51fa\u4e86\u65b0\u7684\u63a8\u8350\uff0c\u529b\u6c42\u63d0\u9ad8\u8bca\u65ad\u6807\u51c6\u7684\u654f\u611f\u5ea6<sup>[6]<\/sup>\u3002\u65b0\u6307\u5357\u6307\u51fa\uff0cBCNIE\u53d1\u751f\u7684\u5e38\u89c1\u539f\u56e0\u662f\u672c\u6b21\u8840\u57f9\u517b\u524d\u5df2\u4f7f\u7528\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u7279\u522b\u662f\u65e2\u5f80IE\u60a3\u8005\uff0c\u4efb\u4f55\u65b0\u53d1\u53d1\u70ed\u3001\u5bd2\u6218\u6216\u5176\u4ed6\u611f\u67d3\u8ff9\u8c61\u90fd\u9700\u8981\u7acb\u5373\u8fdb\u884c\u8bc4\u4f30\uff0c\u5982\u5728\u7ecf\u9a8c\u6027\u4f7f\u7528\u6297\u751f\u7d20\u4e4b\u524d\u8fdb\u884c\u8840\u6db2\u57f9\u517b\u7b49\u3002\u5bf9\u4e8e\u75c7\u72b6\u7a33\u5b9a\u65e0\u5e76\u53d1\u75c7\uff0c\u4e14\u5df2\u63a5\u53d7\u77ed\u7597\u7a0b\u6297\u751f\u7d20\u6cbb\u7597\u7684\u4e9a\u6025\u6027IE\u60a3\u8005\uff0c\u53ef\u505c\u7528\u6297\u751f\u7d20\u5e76\u518d\u6b21\u8fdb\u884c\u8840\u57f9\u517b\u3002\u9664\u6b64\u4e4b\u5916\uff0c\u771f\u83cc\u6216\u4e13\u6027\u7ec6\u83cc\u611f\u67d3\u4e5f\u662fBCNIE\u7684\u53ef\u80fd\u539f\u56e0\u3002\u6307\u5357\u63a8\u8350\u6839\u636e\u5f53\u5730\u6d41\u884c\u75c5\u5b66\u60c5\u51b5\uff0c\u4f7f\u7528\u7279\u5f02\u6027\u805a\u5408\u9176\u94fe\u5f0f\u53cd\u5e94\u68c0\u6d4b\uff0c\u598216S\u300118S\u6838\u7cd6\u4f53\u6838\u7cd6\u6838\u9178\u7ec4\u7ec7\u6d4b\u5e8f\u53ca\u65b0\u4e00\u4ee3\u65e0\u7ec6\u80de\u8131\u6c27\u6838\u7cd6\u6838\u9178\u8840\u6d46\u5fae\u751f\u7269\u6d4b\u5e8f\uff0c\u660e\u786e\u75c5\u539f\u83cc\u4ee5\u8fdb\u884c\u4e0b\u4e00\u9636\u6bb5\u6cbb\u7597\u3002\u968f\u7740\u5f71\u50cf\u6280\u672f\u7684\u8fdb\u6b65\uff0c\u6307\u5357\u65b0\u589e\u4e86\u201c\u5f71\u50cf\u5b66\u9633\u6027\u201d\u7684\u5b9a\u4e49\uff0c\u5373\u901a\u8fc7\u8d85\u58f0\u3001CT\u3001<sup>18<\/sup>F-\u6c1f\u8131\u6c27\u8461\u8404\u7cd6\u6b63\u7535\u5b50\u53d1\u5c04\u65ad\u5c42\u626b\u63cf\uff08<sup>18<\/sup>F-FDG PET\/CT\uff09\u548c\u767d\u7ec6\u80de\u5355\u5149\u5b50\u53d1\u5c04\u65ad\u5c42\u626b\u63cf\/\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08WBC SPECT\/CT\uff09\u4e2d\u7684\u4efb\u4f55\u4e00\u79cd\u6210\u50cf\u6280\u672f\uff0c\u68c0\u6d4b\u74e3\u819c\u3001\u74e3\u819c\/\u5047\u4f53\u5468\u56f4\u53ca\u5f02\u7269\u7684\u75c5\u7406\u89e3\u5256\u6027\u548c\u4ee3\u8c22\u6027\u75c5\u53d8\u7279\u5f81<sup>[7]<\/sup>\u3002\u8d85\u58f0\u5fc3\u52a8\u56fe\u4f5c\u4e3a\u4e3b\u8981\u8bca\u65ad\u6807\u51c6\u4e2d\u7684\u91cd\u8981\u6307\u6807\u68c0\u6d4b\u6280\u672f\uff0c\u5728IE\u7684\u8bca\u65ad\u4e2d\u4ecd\u5177\u6709\u91cd\u8981\u4ef7\u503c\u3002\u65b0\u6307\u5357\u63d0\u9ad8\u4e86\u7ecf\u80f8\u8d85\u58f0\u5fc3\u52a8\u56fe\uff08transthoracic echocardiography\uff0cTTE\uff09\u68c0\u67e5\u9633\u6027\u7684\u7591\u4f3cIE\u60a3\u8005\uff0c\u884c\u7ecf\u98df\u9053\u8d85\u58f0\u68c0\u67e5\uff08transoesophageal echocardiography\uff0cTOE\uff09\u7684\u8bc1\u636e\u7b49\u7ea7\uff08\u2160C\uff09<sup>[8]<\/sup>\u3002\u6b64\u5916\uff0c\u65b0\u6307\u5357\u6307\u51faTOE\u4ea6\u53ef\u7528\u4e8e\u6307\u5bfc\u4e34\u5e8a\u60a3\u8005\u7684\u6297\u611f\u67d3\u6cbb\u7597\u8bc4\u4f30\u548c\u8c03\u6574\uff0c\u5373\u5728\u6297\u751f\u7d20\u7531\u9759\u8109\u6ce8\u5c04\u6539\u4e3a\u53e3\u670d\u836f\u7269\u4e4b\u524d\u9700\u4f9d\u636eTOE\u68c0\u67e5\u7ed3\u679c\uff08\u2160B\uff09\u3002\u8fd1\u5e74\u6765\u65b0\u578b\u6210\u50cf\u6280\u672f\u5728\u81ea\u4f53\u5fc3\u810f\u74e3\u819c\uff08native valve endocarditis\uff0cNVE\uff09\u3001\u4eba\u5de5\u5fc3\u810f\u74e3\u819c\uff08prosthetic valve endocarditis\uff0cPVE\uff09\u548cCIED\u76f8\u5173IE\u53ca\u5468\u56f4\u7ec4\u7ec7\u75c5\u53d8\u7684\u8bca\u65ad\u65b9\u9762\u663e\u793a\u51fa\u91cd\u8981\u7684\u4f5c\u7528\u3002\u5fc3\u810fCT\u53ef\u7528\u4e8e\u8bca\u65adNVE\u548cPVE\u76f8\u5173IE\u53ca\u74e3\u819c\u5468\u56f4\u5e76\u53d1\u75c7\u60c5\u51b5\uff08\u2160B\uff09\u3002<sup>18<\/sup>F-FDG PET\/CT\u53ef\u7528\u4e8e\u7591\u4f3cPVE\u76f8\u5173IE\u7684\u8bca\u65ad\uff08\u2160B\uff09\u3002\u63a8\u8350\u8111\u548c\u5168\u8eab\u6210\u50cf[\u5305\u62ecCT\u3001<sup>18<\/sup>F-FDG PET\/CT\u548c\uff08\u6216\uff09MRI]\u7528\u4e8e\u6709\u75c7\u72b6\u7684NVE\u548cPVE\u76f8\u5173IE\uff0c\u4ee5\u68c0\u6d4b\u74e3\u819c\u5468\u56f4\u75c5\u53d8\u6216\u589e\u52a0\u6b21\u8981\u8bca\u65ad\u6807\u51c6\uff08\u2160B\uff09\u3002\u5f53\u8d85\u58f0\u5fc3\u52a8\u56fe\u9634\u6027\u6216\u65e0\u6cd5\u786e\u8bca\uff0c\u4e14PET\/CT\u4e0d\u53ef\u7528\u65f6\uff0c\u4e34\u5e8a\u9ad8\u5ea6\u6000\u7591PVE\u5f15\u8d77\u7684IE\u60a3\u8005\u5e94\u8003\u8651\u884cWBC SPECT\/CT\u68c0\u67e5\uff08\u2161a C\uff09\u3002\u4e09\u3001\u5fc3\u5185\u819c\u708e\u7684\u6297\u751f\u7d20\u836f\u7269\u6cbb\u7597\u63a8\u83502015\u5e74ESC\u6307\u5357\u6307\u51faIE\u6cbb\u7597\u7684\u76ee\u7684\u662f\u6839\u9664\u5fae\u751f\u7269\u548c\u4fdd\u6301\u74e3\u819c\u529f\u80fd\u3002\u65b0\u6307\u5357\u5efa\u8bae\u4ece\u8840\u57f9\u517b\u548c\u836f\u654f\u4e2d\u660e\u786e\u6700\u4f73\u6297\u751f\u7d20\u7c7b\u578b\uff0c\u5e76\u6839\u636e\u74e3\u819c\u7c7b\u578b\u3001\u611f\u67d3\u4e25\u91cd\u7a0b\u5ea6\u548c\u5e76\u53d1\u75c7\u60c5\u51b5\u6765\u786e\u5b9a\u6297\u751f\u7d20\u7684\u7597\u7a0b\u548c\u4f7f\u7528\u5176\u4ed6\u836f\u7269\u3002\u6297\u751f\u7d20\u7684\u9009\u62e9\u65b9\u9762\uff0c2015\u5e74ESC\u6307\u5357\u6307\u51fa\u6c28\u57fa\u7cd6\u82f7\u7c7b\u6297\u751f\u7d20\u4e0e\u7ec6\u80de\u58c1\u6291\u5236\u5242\u53ef\u534f\u540c\u6740\u83cc\uff0c\u7f29\u77ed\u6cbb\u7597\u65f6\u95f4\u3002\u7136\u800c\uff0c\u65b0\u6307\u5357\u6307\u51fa\u968f\u7740\u4eba\u53e3\u8001\u9f84\u5316\u7684\u8fdb\u5c55\uff0c\u5fc3\u5185\u819c\u708e\u56e2\u961f\u5e94\u614e\u91cd\u8003\u8651\u6c28\u57fa\u7cd6\u82f7\u7c7b\u836f\u7269\u7684\u80be\u810f\u635f\u4f24\u526f\u4f5c\u7528\u3002\u76ee\u524d\u6c28\u82c4\u9752\u9709\u7d20\u4e0e\u5934\u5b62\u66f2\u677e\u7684\u8054\u5408\u6cbb\u7597\u5df2\u88ab\u8bc1\u660e\u53ef\u6709\u6548\u6cbb\u7597\u7caa\u80a0\u7403\u83cc\u5f15\u8d77\u7684IE\uff0c\u5e76\u6700\u5927\u9650\u5ea6\u5730\u964d\u4f4e\u80be\u6bd2\u6027\u98ce\u9669\u3002\u5728\u6297\u751f\u7d20\u7597\u7a0b\u4e0a\u6307\u5357\u5efa\u8bae\u5206\u4e3a2\u4e2a\u9636\u6bb5\u3002\u7b2c1\u9636\u6bb5\u5305\u62ec2\u5468\u7684\u9662\u5185\u9759\u8109\u6ce8\u5c04\u6cbb\u7597\uff0c\u671f\u95f4\u5982\u6709\u5fc5\u8981\u53ef\u8fdb\u884c\u5fc3\u810f\u624b\u672f\uff0c\u6e05\u9664\u53d7\u611f\u67d3\u7684\u8d58\u751f\u7269\uff0c\u5f15\u6d41\u5fc3\u810f\u548c\u5fc3\u5916\u8113\u80bf\u3002\u5728\u7b2c2\u9636\u6bb5\uff0c\u53ef\u5728\u95e8\u8bca\u5b8c\u6210\u80a0\u5916\u6216\u53e3\u670d\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u7597\u7a0b\u6700\u957f\u53ef\u8fbe6\u5468\u3002PVE\u7684\u6297\u751f\u7d20\u6cbb\u7597\u65f6\u95f4\uff08\u22656\u5468\uff09\u5e94\u957f\u4e8eNVE\uff082\uff5e6\u5468\uff09\u3002\u6cbb\u7597\u6301\u7eed\u65f6\u95f4\u5747\u4ee5\u6709\u6548\u6297\u751f\u7d20\u6cbb\u7597\u7684\u7b2c1\u5929\uff08\u521d\u59cb\u8840\u57f9\u517b\u9633\u6027\u7684\u60c5\u51b5\u4e0b\u8f6c\u9634\uff09\u4e3a\u57fa\u7840\u3002\u6cbb\u7597\u671f\u95f4\uff0cTOE\u68c0\u67e5\u63d0\u793a\u65e0\u5c40\u90e8\u5e76\u53d1\u75c7\uff08\u5982\u4e25\u91cd\u7684\u74e3\u819c\u529f\u80fd\u969c\u788d\uff09\u7684\u60c5\u51b5\u4e0b\u65b9\u53ef\u5f00\u59cb\u5728\u95e8\u8bca\u8fdb\u884c\u80a0\u5916\u6216\u53e3\u670d\u6297\u751f\u7d20\u6cbb\u7597\u3002\u9488\u5bf9IE\u7684\u95e8\u8bca\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u6307\u5357\u4e5f\u7ed9\u51fa\u4e86\u65b0\u7684\u5efa\u8bae\uff1a\u5bf9\u4e8e\u7531\u94fe\u7403\u83cc\u3001\u7caa\u80a0\u7403\u83cc\u3001\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\u6216\u51dd\u56fa\u9176\u9634\u6027\u8461\u8404\u7403\u83cc\u5f15\u8d77\u4e8c\u5c16\u74e3\u6216\u4e3b\u52a8\u8109\u53d7\u7d2f\u7684IE\u60a3\u8005\uff0c\u5728\u63a5\u53d7\u4e86\u81f3\u5c1110 d\uff08\u6216\u5fc3\u810f\u624b\u672f\u540e\u81f3\u5c117 d\uff09\u7684\u9759\u8109\u6ce8\u5c04\u6297\u751f\u7d20\u6cbb\u7597\u540e\uff0c\u4e34\u5e8a\u8868\u73b0\u7a33\u5b9a\u4e14TOE\u65e0\u8113\u80bf\u5f62\u6210\u6216\u74e3\u819c\u5f02\u5e38\u7684\u8ff9\u8c61\u5e94\u8003\u8651\u95e8\u8bca\u80a0\u5916\u6216\u53e3\u670d\u6297\u751f\u7d20\u6cbb\u7597\uff08\u2161a A\uff09\u3002\u5bf9\u4e8e\u9ad8\u5ea6\u96be\u6cbb\u6027\u5fae\u751f\u7269\u3001\u809d\u786c\u5316\uff08Child-Pugh \u5206\u7ea7B\u6216C\uff09\u3001\u4e25\u91cd\u8111\u795e\u7ecf\u7cfb\u7edf\u6813\u585e\u3001\u672a\u7ecf\u6cbb\u7597\u7684\u5fc3\u5916\u8113\u80bf\u3001\u5fc3\u810f\u74e3\u819c\u5e76\u53d1\u75c7\u6216\u5176\u4ed6\u9700\u8981\u624b\u672f\u6cbb\u7597\u7684\u4e25\u91cd\u60c5\u51b5\u3001\u4e25\u91cd\u672f\u540e\u5e76\u53d1\u75c7\u548c\u6bd2\u54c1\u6ce8\u5c04\u5f15\u8d77\u7684IE\uff0c\u4e0d\u63a8\u8350\u95e8\u8bca\u9759\u8109\u6297\u751f\u7d20\u6cbb\u7597\uff08\u2162C\uff09\u3002\u5728IE\u5408\u5e76\u51fa\u8840\uff08\u7279\u522b\u662f\u9885\u5185\u51fa\u8840\uff09\u65f6\uff0c\u6307\u5357\u5efa\u8bae\u4e2d\u65ad\u6297\u8840\u5c0f\u677f\u6216\u6297\u51dd\u6cbb\u7597\u3002\u800c\u5728IE\u5408\u5e76\u6813\u585e\u6027\u5352\u4e2d\u65f6\u4e0d\u5efa\u8bae\u91c7\u7528\u6eb6\u6813\u6cbb\u7597\uff08\u2162C\uff09\uff0c\u65f6\u95f4\u7a97\u5185\u53ef\u8003\u8651\u673a\u68b0\u53d6\u6813\uff08\u2161b C\uff09\u3002\u56db\u3001\u5fc3\u5185\u819c\u708e\u7684\u624b\u672f\u6307\u5f81\u548c\u672f\u524d\u8bc4\u4f302015\u5e74ESC\u6307\u5357\u5c06\u5fc3\u529b\u8870\u7aed\u3001\u96be\u4ee5\u63a7\u5236\u7684\u611f\u67d3\u3001\u6813\u585e\u4e8b\u4ef6\u5217\u4e3aIE\u60a3\u8005\u65e9\u671f\u624b\u672f\u7684\u9002\u5e94\u8bc1\uff0c\u4ee5\u907f\u514d\u4e25\u91cd\u611f\u67d3\u5bfc\u81f4\u5fc3\u529b\u8870\u7aed\u8fdb\u5c55\u53ca\u4e0d\u53ef\u9006\u7684\u5fc3\u810f\u7ed3\u6784\u7834\u574f<sup>[9]<\/sup>\u3002\u65b0\u6307\u5357\u4ecd\u63a8\u8350\u4ee5\u4e0a\u5e76\u53d1\u75c7\u51fa\u73b0\u65f6\u5e94\u5c3d\u65e9\u624b\u672f\uff0c\u5e76\u7279\u522b\u5f3a\u8c03\u8d58\u751f\u7269\u226510 mm\u7684IE\u60a3\u8005\u56e0\u5176\u5177\u6709\u5f88\u9ad8\u7684\u6813\u585e\u98ce\u9669\uff0c\u63a8\u8350\u6b64\u7c7b\u60a3\u8005\u5e94\u5f53\u8fdb\u884c\u7d27\u6025\u624b\u672f\uff08\u2160C\uff09\u3002\u5728\u5e76\u53d1\u75c7\u7684\u624b\u672f\u6cbb\u7597\u65b9\u9762\uff0c\u65b0\u6307\u5357\u8fd8\u589e\u52a0\u4e86\u5bf9\u4e8e\u56e0\u5fc3\u529b\u8870\u7aed\u3001\u96be\u4ee5\u63a7\u5236\u7684\u611f\u67d3\u6216\u6813\u585e\u9ad8\u98ce\u9669\u5bfc\u81f4\u7684\u9885\u5185\u51fa\u8840\u548c\u4e34\u5e8a\u72b6\u6001\u4e0d\u7a33\u5b9a\u7684\u60a3\u8005\u7684\u624b\u672f\u65f6\u673a\u63a8\u8350\uff0c\u5373\u8bc4\u4f30\u60a3\u8005\u795e\u7ecf\u7cfb\u7edf\u9884\u540e\u8f83\u597d\u7684\u60c5\u51b5\u4e0b\uff0c\u5e94\u8003\u8651\u6025\u8bca\uff0824 h\u4e4b\u5185\uff09\u6216\u7d27\u6025\uff083\uff5e5 d\u4e4b\u5185\uff09\u624b\u672f\uff08\u2161a C\uff09\u3002\u60a3\u8005\u82e5\u5b58\u5728\u660e\u663e\u7684\u610f\u8bc6\u969c\u788d\uff0c\u4e14\u6062\u590d\u7684\u53ef\u80fd\u6027\/\u5269\u4f59\u751f\u6d3b\u8d28\u91cf\u6781\u4f4e\uff0c\u5219\u5e94\u8003\u8651\u4fdd\u5b88\u6216\u59d1\u606f\u6cbb\u7597\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u65b0\u6307\u5357\u63d0\u51fa\u5352\u4e2d\u7684\u7c7b\u578b\u4e5f\u5c06\u5f71\u54cd\u624b\u672f\u51b3\u7b56\u2014\u2014\u7f3a\u8840\u6027\u5352\u4e2d\u60a3\u8005\u5efa\u8bae\u5728\u786e\u8bca\u540e3\uff5e5 d\u8fdb\u884c\u5fc3\u810f\u624b\u672f\uff0c\u800c\u51fa\u8840\u6027\u5352\u4e2d\u60a3\u8005\uff0c\u5982\u679c\u8bc4\u4f30\u9884\u540e\u8f83\u597d\uff08\u5982\u51fa\u8840\u91cf\u8f83\u5c0f\u7b49\uff09\u4e5f\u53ef\u4ee5\u8003\u8651\u8fdb\u884c\u7d27\u6025\u624b\u672f<sup>[10]<\/sup>\u3002\u6b64\u5916\uff0c\u6307\u5357\u5bf9\u4e8eIE\u5408\u5e76\u623f\u5ba4\u4f20\u5bfc\u963b\u6ede\u7684\u624b\u672f\u6cbb\u7597\u4e5f\u7ed9\u51fa\u4e86\u65b0\u63a8\u8350\u3002\u623f\u5ba4\u4f20\u5bfc\u963b\u6ede\u4e0d\u4ec5\u53ef\u4ee5\u4f5c\u4e3a\u74e3\u65c1\u5ef6\u4f38\u611f\u67d3\u7684\u5e76\u53d1\u75c7\u53d1\u751f\uff0c\u4e5f\u53ef\u4ee5\u4f5c\u4e3a\u74e3\u819c\u624b\u672f\u7684\u7ed3\u679c\u53d1\u751f\u3002\u6307\u5357\u63a8\u8350\u5982\u679c\u74e3\u819c\u5fc3\u5185\u819c\u708e\u548c\u5b8c\u5168\u6027\u623f\u5ba4\u4f20\u5bfc\u963b\u6ede\u60a3\u8005\u5b58\u57281\u79cd\u53ca\u4ee5\u4e0a\u7684\u5371\u9669\u56e0\u7d20\uff0c\u5219\u5e94\u8003\u8651\u7f6e\u5165\u8d77\u640f\u5668\uff08\u2161a C\uff09\u3002\u6b64\u5916\uff0c\u6307\u5357\u8fd8\u66f4\u65b0\u4e86\u4e09\u5c16\u74e3\u6216\u80ba\u52a8\u8109\u74e3\u53d7\u7d2f\u7684IE\u60a3\u8005\u624b\u672f\u6307\u5f81\u3002\u5728\u63a5\u53d7\u4e86\u5408\u7406\u7684\u6297\u751f\u7d20\u6cbb\u7597\u540e\uff0c\u60a3\u8005\u5982\u51fa\u73b0\u6025\u6027\u4e09\u5c16\u74e3\u53cd\u6d41\u540e\u5229\u5c3f\u5242\u6cbb\u7597\u65e0\u6548\u7ee7\u53d1\u53f3\u5fc3\u5ba4\u529f\u80fd\u969c\u788d\uff0c\u6216\u590d\u53d1\u6027\u80ba\u6813\u585e\u540e\u8d58\u751f\u7269\u5f15\u8d77\u547c\u5438\u529f\u80fd\u4e0d\u5168\u9700\u8981\u901a\u6c14\u652f\u6301\uff0c\u5747\u5e94\u8be5\u8003\u8651\u624b\u672f\u6cbb\u7597\uff08\u2160B\uff09\u3002\u65b0\u6307\u5357\u4e5f\u7740\u91cd\u5f3a\u8c03\u672f\u524d\u7684\u51a0\u72b6\u52a8\u8109\u98ce\u9669\u8bc4\u4f30\uff0c\u5e76\u5bf9\u4e0d\u540c\u7c7b\u578b\u7684\u60a3\u8005\u672f\u524d\u7684\u51a0\u72b6\u52a8\u8109\u89e3\u5256\u8bc4\u4f30\u63d0\u51fa\u4e86\u5177\u4f53\u7684\u5efa\u8bae\u3002\u5bf9\u4e8e\u51a0\u5fc3\u75c5\u9ad8\u98ce\u9669\u7684IE\u60a3\u8005\uff0c\u82e5\u5176\u5408\u5e76\u4e3b\u52a8\u8109\u74e3\u8d58\u751f\u7269\u4e14\u8840\u6d41\u52a8\u529b\u5b66\u7a33\u5b9a\uff0c\u6307\u5357\u63a8\u8350\u8fdb\u884c\u9ad8\u5206\u8fa8\u7387\u591a\u5c42\u51a0\u72b6\u52a8\u8109CT\u8840\u7ba1\u9020\u5f71\uff08\u2160B\uff09\uff1b\u82e5\u672a\u5408\u5e76\u4e3b\u52a8\u8109\u74e3\u8d58\u751f\u7269\uff0c\u63a8\u8350\u8fdb\u884c\u4fb5\u5165\u6027\u51a0\u72b6\u52a8\u8109\u9020\u5f71\u68c0\u67e5\uff08\u2160C\uff09\u3002\u4e94\u3001CIED\u76f8\u5173\u7684\u5fc3\u5185\u819c\u708e\u968f\u7740CIED\u6280\u672f\u7684\u98de\u901f\u53d1\u5c55\uff0c\u6307\u5357\u5bf9\u4e8eCIED\u76f8\u5173\u5fc3\u5185\u819c\u708e\u7684\u7ba1\u7406\u4e5f\u6709\u4e86\u65b0\u7684\u63a8\u8350<sup>[11]<\/sup>\u3002\u65b0\u6307\u5357\u6839\u636e\u9769\u5170\u67d3\u8272\u9634\u6027\/\u9633\u6027\u3001\u662f\u5426\u6709\u83cc\u8840\u75c7\u7b49\u60c5\u51b5\uff0c\u5bf9\u60a3\u8005\u7684\u7ba1\u7406\uff08\u4e3b\u8981\u662fCIED\u7684\u53d6\u51fa\u548c\u518d\u7f6e\u5165\uff09\u8fdb\u884c\u4e86\u66f4\u8be6\u7ec6\u7684\u63a8\u8350\u3002\u4e0e2015\u5e74\u6307\u5357\u63a8\u8350\u7684\u672f\u524d\u5e38\u89c4\u6297\u751f\u7d20\u9884\u9632\u6cbb\u7597\u65b9\u6848\u76f8\u6bd4\uff0c\u65b0\u6307\u5357\u5efa\u8bae\u5728CIED\u7f6e\u5165\u65f6\u4f7f\u7528\u8986\u76d6\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\u7684\u6297\u751f\u7d20\u9884\u9632\u611f\u67d3\uff08\u2160A\uff09\u3002\u7591\u8bcaCIED\u76f8\u5173\u5fc3\u5185\u819c\u708e\u65f6\uff0c\u63a8\u8350\u5e94\u7528TTE\u548cTOE\u786e\u8bca\u5e76\u660e\u786e\u74e3\u819c\u8d58\u751f\u7269\u7684\u60c5\u51b5\u3002\u6307\u5357\u5bf9\u4e8eCIED\u53d6\u51fa\u548c\u518d\u7f6e\u5165\u7684\u65f6\u673a\uff0c\u4e5f\u66f4\u65b0\u4e86\u66f4\u660e\u786e\u7684\u63a8\u8350\u3002IE\u60a3\u8005\u5355\u6b21\u8840\u57f9\u517b\u9633\u6027\u4e14\u65e0\u5176\u4ed6\u611f\u67d3\u4e34\u5e8a\u8bc1\u636e\u7684\u60c5\u51b5\u4e0b\uff0c\u4e0d\u63a8\u8350\u53d6\u51faCIED\uff08\u2162 C\uff09\u3002\u5bf9\u4e8e\u660e\u786e\u7684CIED\u76f8\u5173IE\u60a3\u8005\uff0c\u6307\u5357\u5efa\u8bae\u6297\u751f\u7d20\u65e9\u671f\u3001\u8db3\u7597\u7a0b\u6cbb\u7597\uff0c\u5e76\u5c3d\u65e9\u53d6\u51fa\u5168\u90e8CIED\uff08\u2160B\uff09\u3002\u5728\u5b58\u5728\u83cc\u6813\u6813\u585e\u6216\u4eba\u5de5\u74e3\u819c\u7684\u60c5\u51b5\u4e0b\uff0c\u5e94\u8003\u8651\u5c06CIED\u76f8\u5173\u5fc3\u5185\u819c\u708e\u7684\u6297\u751f\u7d20\u6cbb\u7597\u5ef6\u957f\u81f3\u53d6\u51fa\u88c5\u7f6e\u540e4\uff5e6\u5468\uff08\u2161a C\uff09\u3002\u5982\u9700\u8981\u8fdb\u884cCIED\u518d\u7f6e\u5165\uff0c\u6307\u5357\u5efa\u8bae\u5c3d\u91cf\u8fdc\u79bb\u524d\u4e00\u4e2a\u7f6e\u5165\u70b9\uff0c\u5e76\u9700\u5f85\u611f\u67d3\u7684\u4f53\u5f81\u548c\u75c7\u72b6\u51cf\u8f7b\u6d88\u5931\uff0c\u81f3\u8840\u57f9\u517b\u4e3a\u9634\u6027\u8d85\u8fc772 h\uff08\u2160C\uff09\u3002\u5728\u63a5\u53d7CIED\u518d\u7f6e\u5165\u7684\u9ad8\u5371\u60a3\u8005\u4e2d\uff0c\u53ef\u4ee5\u8003\u8651\u4f7f\u7528\u6297\u83cc\u5c01\u5957\u4ee5\u964d\u4f4e\u611f\u67d3\u98ce\u9669\uff08\u2161b B\uff09\u3002\u5bf9\u4e8e\u975e\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83ccCIED\u76f8\u5173\u6027\u5fc3\u5185\u819c\u708e\uff0c\u65e0\u74e3\u819c\u53d7\u7d2f\u6216\u5bfc\u7ebf\u8d58\u751f\u7269\u5b58\u5728\uff0c\u540c\u65f6\u540e\u7eed\u8840\u57f9\u517b\u9634\u6027\u3001\u65e0\u83cc\u6813\u6813\u585e\uff0c\u53d6\u51fa\u88c5\u7f6e\u540e\u53ef\u8003\u8651\u5b8c\u62102\u5468\u7684\u6297\u751f\u7d20\u6cbb\u7597\uff08\u2161b C\uff09\u3002\u516d\u3001\u5fc3\u5185\u819c\u708e\u56e2\u961f\u5bf9\u60a3\u8005\u7684\u7efc\u5408\u7ba1\u7406IE\u7684\u7ba1\u7406\u662f\u4e00\u4e2a\u957f\u671f\u3001\u590d\u6742\u3001\u6301\u7eed\u7684\u8fc7\u7a0b\uff0c\u65e0\u8bba\u662f\u8bca\u65ad\u3001\u6cbb\u7597\u8fd8\u662f\u968f\u8bbf\u90fd\u9700\u8981\u5fc3\u5185\u819c\u708e\u56e2\u961f\u7684\u5168\u7a0b\u53c2\u4e0e\u548c\u5168\u9762\u6307\u5bfc<sup>[12]<\/sup>\u3002\u65b0\u6307\u5357\u66f4\u52a0\u5f3a\u8c03\u4e86\u5fc3\u810f\u74e3\u819c\u4e2d\u5fc3\u548c\u5fc3\u5185\u819c\u708e\u56e2\u961f\u7684\u91cd\u8981\u6027\u3002\u6307\u5357\u63a8\u8350\u590d\u6742IE\u60a3\u8005\u5e94\u5c3d\u65e9\u53bb\u5fc3\u810f\u74e3\u819c\u4e2d\u5fc3\u5c31\u8bca\uff0c\u533b\u7597\u673a\u6784\u5e94\u5177\u5907\u80fd\u7acb\u523b\u5f00\u5c55\u624b\u672f\u7684\u6761\u4ef6\u53caIE\u56e2\u961f\uff1b\u800c\u5bf9\u4e8e\u5728\u8f6c\u8bca\u4e2d\u5fc3\u6cbb\u7597\u7684\u65e9\u671f\u8f7b\u75c7IE\u60a3\u8005\uff0c\u5efa\u8bae\u60a3\u8005\u5e94\u5c3d\u65e9\u4e0e\u5fc3\u5185\u819c\u708e\u56e2\u961f\u6c9f\u901a\u5e76\u53c2\u4e0e\u957f\u671f\u968f\u8bbf\uff0c\u4ee5\u6539\u5584\u9884\u540e\uff08\u2160B\uff09\u3002\u6307\u5357\u64b0\u5199\u7ec4\u4e13\u5bb6Michael A Borger\u7740\u91cd\u6307\u51fa\uff0c\u9664\u4e86\u533b\u7597\u652f\u6301\uff0c\u793e\u4f1a\u652f\u6301\u4e5f\u4e0e\u60a3\u8005\u7684\u9884\u540e\u663e\u8457\u76f8\u5173\u3002\u57fa\u4e8e\u6b64\uff0c\u65b0\u6307\u5357\u63d0\u51fa\u4e86\u4ee5\u60a3\u8005\u4e3a\u4e2d\u5fc3\u7684\u51b3\u7b56\u5171\u4eab\u6a21\u578b\uff0c\u4e3b\u8981\u5305\u62ec\u5bb6\u5ead\u548c\u7167\u987e\u8005\u53c2\u4e0e\u3001\u60a3\u8005\u7684\u6cbb\u7597\u504f\u597d\u3001\u62a4\u7406\u5408\u4f5c\u548c\u534f\u8c03\u3001\u4fe1\u606f\u6574\u5408\u548c\u6559\u80b2\u3001\u8eab\u4f53\u548c\u60c5\u611f\u652f\u6301\u4ee5\u53ca\u5e73\u7a33\u8fde\u7eed\u7684\u6cbb\u7597\u8fc7\u7a0b\u3002\u5728\u60a3\u8005\u51fa\u9662\u540e\uff0c\u6307\u5357\u63a8\u8350\u5fc3\u5185\u819c\u708e\u56e2\u961f\u5728\u968f\u8bbf\u671f\u95f4\u5bf9\u60a3\u8005\u8fdb\u884c\u5173\u4e8e\u590d\u53d1\u98ce\u9669\u548c\u9884\u9632\u63aa\u65bd\u7684\u6559\u80b2\uff0c\u91cd\u70b9\u662f\u7259\u9f7f\u53ca\u57fa\u4e8e\u4e2a\u4eba\u98ce\u9669\u6982\u51b5\u7684\u5065\u5eb7\u6559\u80b2\uff08\u2160C\uff09\u3002\u5bf9\u4e8e\u4e34\u5e8a\u4e00\u822c\u60c5\u51b5\u7a33\u5b9a\u7684\u60a3\u8005\uff0c\u5e94\u6839\u636e\u4e2a\u4eba\u8bc4\u4f30\u8003\u8651\u8fdb\u884c\u5305\u62ec\u4f53\u80b2\u953b\u70bc\u5728\u5185\u7684\u5fc3\u810f\u5eb7\u590d\u5e72\u9884\uff08\u2161a C\uff09\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u53ef\u5c06\u793e\u4f1a\u5fc3\u7406\u652f\u6301\u53ca\u7126\u8651\u548c\u6291\u90c1\u7b5b\u67e5\u7eb3\u5165\u540e\u7eed\u7684\u5065\u5eb7\u62a4\u7406\uff0c\u5fc5\u8981\u65f6\u8f6c\u8bca\u81f3\u76f8\u5173\u7684\u5fc3\u7406\u6cbb\u7597\u4e2d\u5fc3\uff08\u2161b C\uff09\u3002\u603b\u4e4b\uff0c\u5fc3\u5185\u819c\u708e\u662f\u4e00\u79cd\u81f4\u6b7b\u6027\u75be\u75c5\uff0c\u5176\u4e25\u91cd\u7684\u5e76\u53d1\u75c7\u548c\u8f83\u9ad8\u7684\u6b7b\u4ea1\u7387\uff0c\u7ed9\u6211\u56fd\u516c\u5171\u536b\u751f\u670d\u52a1\u4f53\u7cfb\u9020\u6210\u6c89\u91cd\u7684\u8d1f\u62c5\u30022023\u5e74ESC\u5fc3\u5185\u819c\u708e\u7ba1\u7406\u6307\u5357\u57fa\u4e8e\u5927\u91cf\u56fd\u5185\u5916\u4e34\u5e8a\u7814\u7a76\uff0c\u603b\u7ed3\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\uff0c\u66f4\u65b0\u5371\u9669\u5206\u5c42\u3001\u75be\u75c5\u9884\u9632\u3001\u4e34\u5e8a\u8bca\u65ad\u7b49\u76f8\u5173\u5185\u5bb9\uff0c\u4e3a\u75be\u75c5\u6cbb\u7597\u548c\u5e76\u53d1\u75c7\u7684\u5e72\u9884\u63d0\u4f9b\u4e86\u660e\u786e\u7684\u5efa\u8bae\uff0c\u4ece\u800c\u5e2e\u52a9\u6211\u4eec\u8fdb\u884c\u4e34\u5e8a\u51b3\u7b56\u7684\u5236\u5b9a\uff0c\u6539\u5584\u60a3\u8005\u7684\u9884\u540e\u3002\u6211\u4eec\u671f\u5f85\u66f4\u591a\u9488\u5bf9\u4e2d\u56fd\u4eba\u7fa4\u7684\u5927\u578b\u5fc3\u5185\u819c\u708e\u7684\u4e34\u5e8a\u7814\u7a76\uff0c\u4e3a\u5fc3\u5185\u819c\u708e\u60a3\u8005\u7684\u7ba1\u7406\u63d0\u4f9b\u53ef\u9760\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\uff0c\u4ece\u800c\u66f4\u597d\u5730\u6307\u5bfc\u6211\u56fd\u7684\u4e34\u5e8a\u5b9e\u8df5\u3002<\/p>\n<p> \u5229\u76ca\u51b2\u7a81\u6240\u6709\u4f5c\u8005\u58f0\u660e\u65e0\u5229\u76ca\u51b2\u7a81<\/p>\n<p>\u53c2\u8003\u6587\u732e<\/p>\n<p>[1]\tHabib G, Lancellotti P, Antunes MJ, et al. 2015 ESC guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM)[J]. Eur Heart J, 2015, 36(44):3075-3128. DOI: 10.1093\/eurheartj\/ehv319.[2]\tDelgado V, Ajmone Marsan N, de Waha S, et al. 2023 ESC guidelines for the management of endocarditis[J]. Eur Heart J, 2023. DOI: 10.1093\/eurheartj\/ehad193.[3]\tMomtazmanesh S, Saeedi Moghaddam S, Malakan Rad E, et al. Global, regional, and national burden and quality of care index of endocarditis: the global burden of disease study 1990-2019[J]. Eur J Prev Cardiol, 2022, 29(8):1287-1297. DOI: 10.1093\/eurjpc\/zwab211.[4]\tIversen K, Ihlemann N, Gill SU, et al. Partial oral versus intravenous antibiotic treatment of endocarditis[J]. N Engl J Med, 2019, 380(5):415-424. DOI: 10.1056\/NEJMoa1808312.[5]\tBode LG, Kluytmans JA, Wertheim HF, et al. Preventing surgical-site infections in nasal carriers of Staphylococcus aureus[J]. N Engl J Med, 2010, 362(1):9-17. DOI: 10.1056\/NEJMoa0808939.[6]\tLi JS, Sexton DJ, Mick N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis[J]. Clin Infect Dis, 2000, 30(4):633-638. DOI: 10.1086\/313753.&nbsp;[7]\tPizzi MN, Roque A, Cu\u00e9llar-Calabria H, et al. (18)F-FDG-PET\/CTA of prosthetic cardiac&nbsp;valves and valve-tube grafts: infective versus inflammatory patterns[J]. JACC Cardiovasc Imaging, 2016, 9(10):1224-1227. DOI: 10.1016\/j.jcmg.2016.05.013.[8]\tErba PA, Pizzi MN, Roque A, et al. Multimodality imaging in infective endocarditis: an imaging team within the endocarditis team[J]. Circulation, 2019, 140(21):1753-1765. DOI: 10.1161\/CIRCULATIONAHA.119.040228.[9]\tVahanian A, Beyersdorf F, Praz F, et al. 2021 ESC\/EACTS guidelines for the management of valvular heart disease[J]. Eur Heart J, 2022, 43(7):561-632. DOI: 10.1093\/eurheartj\/ehab395.[10]\tGarc\u00eda-Cabrera E, Fern\u00e1ndez-Hidalgo N, Almirante B, et al. Neurological complications of infective endocarditis: risk factors, outcome, and impact of cardiac surgery: a multicenter observational study[J]. Circulation, 2013, 127(23):2272-2284. DOI: 10.1161\/CIRCULATIONAHA.112.000813.[11]\tHuang XM, Fu HX, Zhong L, et al. Outcomes of transvenous lead extraction for cardiovascular implantable electronic device infections in patients with prosthetic heart valves[J]. Circ Arrhythm Electrophysiol, 2016, 9(9):e004188. DOI: 10.1161\/CIRCEP.116.004188.[12]\tKimmel SD, Walley AY, Li Y, et al. Association of treatment with medications for opioid use disorder with mortality after hospitalization for injection drug use-associated infective endocarditis[J]. JAMA Netw Open, 2020, 3(10):e2016228. DOI: 10.1001\/jamanetworkopen.2020.16228.\u7f16\u8f91\uff1a\u8303\u59dd\u5a55\u5ba1\u6838\uff1a\u4ed8\u6653\u971e<\/p>\n<p> #artContent h1#artContent p img#artContent table<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u672c\u6587\u5c06\u53d1\u8868\u4e8e\u300a\u4e2d\u534e\u5fc3\u8840\u7ba1\u75c5\u6742\u5fd7\u300b2023\u5e7412\u671f\uff0c\u672c\u5fae\u4fe1\u5185\u5bb9\u548c\u6700\u7ec8\u7248\u53ef\u80fd\u5b58\u5728\u51fa\u5165 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=58688\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-58688","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/58688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=58688"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/58688\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58688"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}