ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ МНОГОКЛАПАННЫХ ПОРАЖЕНИЙ СЕРДЦА У БОЛЬНЫХ С ИНФЕКЦИОННЫМ ЭНДОКАРДИТОМ

Article Abdumadjidova Kh.A. et al «Surgical treatment of multi-valve heart disease in infective endocarditis» Peculiarities of diagnosis and results of surgical treatment of multi-valve heart disease in infective endocarditis. Analyze data and results klinicheskogoobsledovaniya operated 156 patients with infective endocarditis, of which 85 were men (56,5 %), and women –71 (45,5 %). Age Our patients ranged from 12 to 68 (mean 32,76 ± 1,6) years. Diagnosis was based on the classification and criteria Durack D.T. (2004) Duke University. The patients were divided into 2 groups: group 1,89 (57,4 %) patients who underwent a complex developed by the authors of antibiotic therapy, treatment and preventive measures. 2-group 67 (42,6 %) patients who underwent the traditional surgical treatment scheme. The diagnosis used: electrocardiography (ECG), X-rays from Skopje, transthoracic echocardiography (TTEHOKG) – all patients, transesophageal echocardiography (TEHOKG) – at 40,5 %; coronaroventriculography (CVG) and angiocardiography (ACG) – at 12,65 %; blood culture study in 38,6 % of patients, with light gistrology electron microscopy (LEM) – in 47,5 % of patients. Intraoperative treatment – preventive measures (TPM) were as follows; mechanical and chemical sanitation of the infected area of the heart; valve implantation antibakteriyalnymi properties; hyperthermic perfusion; anti microbial therapy, including anti-fungal agents. Application of the above measures could reduce mortality in the study group and 5,1 % in the control group – 9,3 %. In dynamics, declined to 3,9 % in the last Godi mortality in the study group.