中新网南京11月20日电 (何雨田 吴倪娜 盛捷)皮肤上一个不到2cm的小破口会把你送进手术室？这可不是天方夜谭。20日，记者从江苏省人民医院获悉，来自河北的19岁大学生李某因为剃胡子剃破了一个小口引致细菌侵入，从而感染上细菌性心内膜炎，最后不得不做心脏瓣膜置换手术，该院胸心外科主任医师邵永丰强调说，人浅表皮肤的破口有可能造成心脏的大隐患，广大患者须随时提高警惕，谨防细菌入侵。

Beijing on November 20, nanjing (HeYuTian WuNi na ChengJie)The skin on a less than 2 cm of small crevasse will send you into the operating room?This is not the Arabian nights.20,Reporters learned that from jiangsu province people's hospital,From hebei 19-year-old college student li mou because shave beard shaving broke a small mouth cause bacteria invasion,Thus infected bacterial endocarditis,Finally have to do heart valve replacement operation,The hospital chest cardiac surgery chief physician ShaoYongFeng stressed,People superficial skin crevasse can cause heart big hidden trouble,The patient must be alert at any time,Beware of bacteria invasion.

　　李某本是河北的大学生，两周前突然高烧不退，在校内医院使用激素治疗后，体温微微好转后又反复高热。转入江苏省人民医院时，小伙子持续高热，更迅速发展为呼吸困难、肺水肿，经诊断为感染性心内膜炎引发的急性左心衰。当晚送入手术室，由胸心外科主任医师张石江和邵永丰为其进行瓣周脓肿清除及心脏瓣膜置换手术。术中发现，李某心脏瓣膜有穿孔、赘生物，并在瓣膜周边形成脓肿。

This is li mou hebei college students,Two weeks ago, all of a sudden high fever is not retreated,In the hospital after the use of hormone therapy,Temperature slightly better after repeated high fever.Turn to jiangsu province people's hospital,Young man continued high fever,The more rapid development for difficulty breathing/Pulmonary edema,The diagnosis of infective endocarditis cause acute left heart failure.That night into the operating room,The chest cardiac surgery chief physician ZhangShiJiang and ShaoYongFeng to carry out the disc weeks abscesses clear and heart valve replacement operation.Intraoperative found,Li mou heart valves have punched/vegetations,And in the valve peripheral abscess.

　　邵永丰介绍，这是典型的感染性心内膜炎。据了解，小伙子发高烧前一周，曾被刮胡刀在脸部不小心刮出了一个破口，然而就是这个小破口成为了将细菌引入血液的“幕后黑手”。

ShaoYongFeng introduced,This is typical of infective endocarditis.It is understood,A week before young man had a high fever,Have been shaving cutter in facial ministry carelessly pared off to a crevasse,Yet even this small crevasse become the bacteria into blood"Behind the attacks".

　　那么是不是所有感染性心内膜炎的患者都要像李某一样选择手术呢？其实不然。邵永丰说，不同的细菌毒力不同，因而病情的发展状况要视细菌毒力的强弱而定。临床显示，如果早期对疾病进行干预，至少有一半以上的患者可以免于手术，最终被推入手术室的患者，绝大部分是由于忽略了病症、诊断及治疗延误引起的。

So do all infective endocarditis patients must like li mou? As choosing surgery?Actually otherwise.ShaoYongFeng said,Different bacterial virulence different,Therefore the development of the disease depends on the strength of the bacterial virulence and decide.Clinical display,If the early intervention to disease,At least more than half of the patients can from surgery,Finally pushed into the operating room of the patients,The majority is because it has neglected the disease/Diagnosis and treatment caused by delay.

　　对此，邵永丰提醒道：感冒发烧、胸闷气喘等症状发生时患者应重视，及时诊断，有针对性的治疗，若感染性心内膜炎发现及时诊断，有针对性的治疗，而个人也要注重个人卫生，勤洗手、浅表皮肤有感染时应及时局部消毒治疗，防止细菌接触皮肤、侵入血液。有口腔破损感染(如牙龈炎)、脚气及甲沟炎的患者要特别注意有无感染状况发生，因为他们可以说是感染性心内膜炎的高发人群。(完)

this,ShaoYongFeng warns:The cold has a fever/Bosom is frowsty asthma symptoms occur should pay attention to patients,Timely diagnosis,Targeted therapy,If the infective endocarditis found timely diagnosis,Targeted therapy,And the individual also should pay attention to personal hygiene,Diligent wash one's hands/Superficial skin infection should be timely local disinfection treatment,Prevent bacteria contact with skin/Intrusion blood.Have oral damage infection(Such as gingivitis)/Beriberi and paronychia patients to pay special attention to have happened infection status,Because they can be said to be infective endocarditis high-risk groups.(finish)