心脏起搏器植入术后并发局部慢性溃疡伴感染的综合处理

目的 探讨起搏器植入术后并发局部慢性溃疡伴感染的综合治疗方法.方法2 005年1月-2010年5月,收治4例心脏起搏器植入术后并发局部慢性溃疡伴感染的患者.男3例,女1例;年龄3～79岁.心脏起搏器植入术后囊袋感染致皮肤破溃伴慢性溃疡2例,起搏器植入后局部张力过高所致局部慢性溃疡2例,其中2例患有2型糖尿病.所有患者均...

Comprehensive Treatment for Intractable Ulcers with Infection after Pacemaker Implantation

Objective To explore comprehensive treatment options for local chronic ulcer with infection after the pacemaker implantation. Methods From January 2005 to May 2010, four patients （3 males and 1 female; 3-79 years old） with intractable ulcer with infection after pacemaker implantation were admitted. Pacemaker pocket infection induced chronic ulcer was in two, and tension induced chronic ulcers were in two. Two of the four patients were type II diabetes. All of the four patients underwent strict conservative treatment at least for 3 months prior to surgical treatment. Surgical treatment involved complete excision of infected tissue surrounding the pacemaker pocket and removal of all unnecessary lengths of pacemaker lead, even complete replacement of the original lead. Depending on the specific situation, pacemakers were either placed in their original position or a new position with a latex drainage strip. Patients then received a course of antibiotic treatment ranging from 5 to 7 days. Results All of the four patients achieved healing by first intention, and were followed up for 7 11 months, with an average of 9 months follow up. All patients achieved the satisfactory results. Conclusion A comprehensive treatment is effective on local chronic ulcer with infection after the pacemaker implantation.