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本文对1962—1973年之间的95例感染性心内膜炎病人进行复习。其中,36例(38%)有神经系表现,27例且作为疾病的首发临床表现出现。发病的高峰在20～29岁,60%的病人在40岁以下。感染性心内膜炎神经精神症状的类型如下: (1)卒中(15例,占心内膜炎的15.7%):最常见常表现为偏瘫伴语言障碍。2/3的病人伴有意识丧失,有一例无任何前驱或先兆症状而突然发生昏迷。(2)中毒症状(12例,12.5%):头痛,嗜睡、眩晕、困倦。以头痛最常见(11/12)。
This article reviewed 95 patients with infectious endocarditis from 1962 to 1973. Of these, 36 (38%) had neurological manifestations, and 27 were present as first-line clinical manifestations of the disease. The peak incidence of 20 to 29 years, 60% of patients under the age of 40. The types of neuropsychiatric symptoms of infective endocarditis are as follows: (1) Stroke (15 cases, 15.7% of endocarditis): The most common manifestation is hemiplegia with speech impairment. Two-thirds of patients with loss of consciousness, one case without any precursor or aura symptoms suddenly coma. (2) poisoning symptoms (12 cases, 12.5%): headache, drowsiness, dizziness, sleepiness. The most common headache (11/12).