| 起搏器囊袋破溃12例临床分析 |
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| 引用本文： | 彭刚,舒茂琴,宋治远,姚青,钟理,冉擘力,柴虹,李永华.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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| 作者姓名： | 彭刚 舒茂琴 宋治远 姚青 钟理 冉擘力 柴虹 李永华 |
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| 作者单位： | 1. 重庆北部新区高新园人民医院内科,重庆,401121
2. 400038重庆,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 |
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| 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。
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| 关 键 词： | 心脏起搏器 人工 并发症 感染 |
Pacemaker bag erosion in 12 patients: a clinical analysis |
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| Peng Gang,Shu Maoqin,Song Zhiyuan,Yao Qin,Zhong Li,Ran Boli,Chai Hong,Li Yonghua.Pacemaker bag erosion in 12 patients: a clinical analysis[J].Acta Academiae Medicinae Militaris Tertiae,2011,33(16):1758-1760. |
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| Authors: | Peng Gang Shu Maoqin Song Zhiyuan Yao Qin Zhong Li Ran Boli Chai Hong Li Yonghua |
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| Institution: | Peng Gang1,Shu Maoqin2,Song Zhiyuan2,Yao Qin2,Zhong Li2,Ran Boli2,Chai Hong2,Li Yonghua2(1 Department of Internal Medicine,Gaoxinyuan People's Hospital in Northern New District,Chongqing,401121,2 Department of Cardiology,Institute of Chongqing Intervention Cardiology,Southwest Hospital,Third Military Medical University,400038,China) |
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| 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... |
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| Keywords: | artificial cardiac pacemaker complication infection |
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