[1]彭刚,舒茂琴,宋治远,等.起搏器囊袋破溃12例临床分析[J].第三军医大学学报,2011,33(16):1758-1760.
 Peng Gang,Shu Maoqin,Song Zhiyuan,et al.Pacemaker bag erosion in 12 patients: a clinical analysis[J].J Third Mil Med Univ,2011,33(16):1758-1760.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
33卷
期数:
2011年第16期
页码:
1758-1760
栏目:
论著
出版日期:
2011-08-30

文章信息/Info

Title:
Pacemaker bag erosion in 12 patients: a clinical analysis
作者:
彭刚 舒茂琴宋治远 姚青 钟理 冉擘力 柴虹 李永华
重庆北部新区高新园人民医院内科 ;第三军医大学西南医院心血管内科,重庆市介入心脏病学研究所
Author(s):
Peng Gang Shu Maoqin Song Zhiyuan Yao Qin Zhong Li Ran Boli Chai Hong Li Yonghua
Department of Internal Medicine, Gaoxinyuan People’s Hospital in Northern New District, Chongqing, 401121; Department of Cardiology, Institute of Chongqing Intervention Cardiology, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China
关键词:
心脏起搏器人工并发症感染
Keywords:
artificial cardiac pacemaker complication infection
分类号:
R541.705;R645.2
文献标志码:
A
摘要:
目的     探讨起搏器囊袋破溃的常见原因及合理的处理方法。     方法       通过回顾性分析我院心血管内科2007年1月至2011年3月的12例起搏器囊袋破溃的基本资料,比较不同处理措施的临床疗效。     结果       ①12例患者平均年龄75.3岁,男性7例,女性5例,其中11例合并高血压、心衰及糖尿病。3例为早发型、9例为迟发型囊袋破溃。②随访(31.6±6.8)个月。8例在对侧安置新的起搏系统,2例取出原起搏器,2例原电极与原起搏器被深埋在患侧胸大肌深面。所有患者新的起搏系统工作良好。③所有患者原电极未拔除。6例残余电极前浅埋皮下者,半数残余电极刺破皮肤。4例残余电极和2例原电极深埋者,均达到完全痊愈。     结论       起搏器囊袋破溃原因复杂,加强局部清创、深埋残余电极等可获得较好的疗效。
Abstract:
Objective     To study the common reasons of pacemaker bag erosion and its rational repair methods.      Methods       Basic data about pacemaker bad erosion in 12 patients, admitted to Southwest Hospital from January 1, 2007 to March 31, 2011, were retrospectively analyzed and its different repair methods were compared.      Results       The median age of 12 patients (7 males and 5 females) was 75.3 years. Of the 12 patients, 11 were complicated by hypertension, heart failure and diabetes. Early and delayed pacemaker bag erosion was found in 3 and 9 patients, respectively. The patients were followed up for 31.6±6.8 months. A new pacemaker system was implanted in 8 patients, with the original pacemaker removed from 2 patients, and with the original electrodes and pacemaker deeply implanted into the affected greater pectoral muscle of 2 patients. The newly-implanted pacemaker functioned well. The original electrodes were not removed from the 12 patients. The skin was wounded by residual electrodes in subcutaneous and greater pectoral muscle of 6, 4 and 2 patients, which was completely healed after treatment.      Conclusion       The reasons of pacemaker pocket erosion are quite complex. Local debridement and deep implantation of residual electrodes cam achieve a rather good outcome.

参考文献/References:

彭刚, 舒茂琴, 宋治远, 等. 起搏器囊袋破溃12例临床分析[J].第三军医大学学报,2011,33(16):1758-1760.

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更新日期/Last Update: 2011-08-30