肠球菌是第三种最常引起心内膜炎的细菌,仅次子非肠球菌性链球菌和葡萄球菌。近几十年来,肠球菌性心内膜炎更常见,约占细菌性心内膜炎的10～15％。作者分析了37例42例次肠球菌性心内膜炎。患者平均年龄61岁,男性27例,女性10例。其中70％有心瓣膜病,患者中81％可找到肠球菌入侵的可能途径:27％源于胃肠道,包括癌、息肉、憩室病,憩室炎或肠道手术;22％有泌尿道疾病或手术史;16％在发病 Enterococcus is the third most common cause of endocarditis bacteria, second only non-enterococci and staphylococcus. In recent decades, enterococcal endocarditis is more common, accounting for 10 to 15% of bacterial endocarditis. The authors analyzed 37 cases of 42 cases of enterococcal endocarditis. The average age of patients was 61 years, 27 males and 10 females. Of these, 70% had valvular heart disease and 81% of the patients found possible routes of enterococcal invasion: 27% originated from the gastrointestinal tract, including cancer, polyps, diverticular disease, diverticulitis or enteric surgery; 22% had urinary tract disease or Surgery history; 16% in the incidence