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|本期目录/Table of Contents|

植入式心脏起搏器与自动转复除颤器感染的发病机制和诊治

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第1期
页码:
110-112,119
栏目:
综述
出版日期:
2013-02-25

文章信息/Info

Title:
Pathogenesis, diagnosis and treatment of infection of implantable cardiac pacemaker and automatic defibrillator
作者:
刘 勇1; 刘怡辰2 综述
(1.四川省自贡市第三人民医院，四川 自贡 643020;2.重庆医科大学09级临床医学系,重庆 401331)
Author(s):
LIU Yong1;  LIU Yi cheng2
(1.Department of Cardiology, Zigong Third People’s Hospital, Zigong 643020, Sichuan, China; 2.Grade 2009, Department of Clinical Medicine, Chongqing Medical and Science University, Chongqing 401331, China)
关键词:
心血管植入性电子装置; 心脏起搏器; 自动转复除颤器; 感染
Keywords:
cardiovascular implantable electronic devices;  cardiac permanent pacemaker;  implantable cardioverterdefibrillator;  infection
分类号:
R318.11
DOI:
-
文献标识码:
A
摘要:
心血管植入性电子装置（CIED）感染的发生日见增多，涉及植入物本身和导管感染以及囊袋、心内膜、动静脉软组织及血流感染等类型。这些救命装置感染的发病机制与多因素有关，诊断需要综合局部和全身症状、体征、食道和经胸超声及多途径（组织、分泌物、导管、血液）细菌培养等多方面来决定。治疗的关键策略包括是否需要移除感染的CIED装置、抗感染治疗疗程、是否需要植入新的CIED装置及其植入时机；作者提出了CIED感染的3级预防策略。
Abstract:
Cardiovascular implantable electronic device (CIED) infection has been increasing and the increasing rate of CIED infection is likely multifactorial in cause, involving both host and devicerelated factors including infection of the CIED itself, catheters, capsular bags, endocardium, arteriovenous soft tissues and bloodstream. The pathogenesis of infection is also related to many factors and diagnosis should be based on comprehensive local and systemic symptoms and signs, esophagus or transthoracic ultrasound examinations and bacterial cultures of tissues, secretions, catheters and blood. The key strategies of treatment include removing the infected CIED device if needed, antiinfective therapy, implanting new CIED devices and implantation timing. This study offers a threelevel prevention strategy for CIED infection.

参考文献/References

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[8]Uslan DZ,Dowsley YTF,Sohail MR,et al.Cardiovascular implantable electronic device infection in patients with Staphylcoccus aureus bacteremia[J].Pacing Clin Electrophysiol,2010,33(4):407-413.

[9]Baman TS,Gupta SK,Valle JA,et al.Risk factors for mortality in patients with cardiac devicerelatcd infection[J].Circ Arrhythm Electrophysiol,2009,2(2):129-134.

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备注/Memo

备注/Memo:
收稿日期：2011-11-09.通讯作者：刘勇，教授，主要从事心脏病学和医学软科学研究Email:liuyong620710@126.com
更新日期/Last Update: 2013-03-20