【摘要】 目的探讨永久心脏起搏器装置相关感染的临床特征、治疗方法及其预后。方法选择2003年1月-2012年12月在兵团第六师医院、新源县人民医院、新疆医科大学第一附属医院心脏中心的2 972例安装永久心脏起搏器装置病人,因"永久心脏起搏器装置相关感染"的有23例患者,回顾性分析永久心脏起搏器系统相关感染的临床特点、处理及预后。结果单纯囊袋局部感染21例,囊袋感染合并全身感染2例。2例经静脉使用抗生素及局部换药,3例行局部清创,18例行整个起搏装置移除与清创。局部清创组2例感染复发(66.7%),装置移除组1例感染复发(5.6%)。起搏器装置感染的发生率为0.77%,起搏器装置首次植入感染的发生率为0.69%,起搏器装置更换后的感染发生率为1.36%,首次植入起搏器患者感染发生率较起搏器更换患者低,差异无统计学意义(P=0.17)。结论永久心脏起搏器相关感染是起搏器植入后的严重并发症。单纯局部清创感染复发风险较高,永久起搏装置移除是最佳的治疗方案。更多还原

【Abstract】 Objective To analyse retrospectively the clinical characteristics of cardiac pacemaker devices-related infections.Methods 23patients who have cardiac pacemaker devices-related infections were enrolled in this retrospective study.Results Pocket infection in 21cases,systemic infection in 2cases.The incidence of pacemaker devices-related infection was 0.77%.The incidence of infection was 0.69%for the implant patients vs 1.36%for replacement patients,and there were significant differences in two groups(P =0.17).For the treatment,2patients received only intravenous antibiotics and local treatment;3patients underwent local debridement;18patients removed and re-implanted pacemaker.There were 2cases of recurrent infection(66.7%)in local debridement group and 1case of recurrence in device removal group(5.6%).Conclusion Pacemaker-related infection is a serious complication after implantation,and the best treatment for this situation is to remove the pacemaker device.更多还原