感染性心内膜炎,InfectiveEndocarditis,Definitionandclassification,心(血管)内膜(瓣膜)感染,急性(AIE):毒力强,病程短,中毒症状明显亚急性(SIE,SBE):毒力低,病程长,自体瓣膜感染:nativevalveendocarditis人工瓣膜感染:prostheticvalveendocarditis(PVE)右心瓣膜感染性心内膜炎rightheartvalveendocarditis:drugabuse,AIDS,catheterization,EtiologyandMechanism,草绿色链球菌,50%葡萄球菌,葛兰氏阴性杆菌AIE:葡萄球菌,可发生于无器质性心脏病患者SIE:链球菌,esp.院外感染,几乎均有心脏病基础PVE:表皮葡萄球菌,术后1年内,Endocarditis,Heartstructuralabnormality,Endocardialinjury,thrombosis,Adhesionofbacteria,Disturbanceofbloodflow,Mechanism,vegetation,