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老年患者永久起搏器植入术中抗生素冲洗囊袋对囊袋感染发生率的影响(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第6期
页码:
705-706
栏目:
临床研究
出版日期:
2007-12-20

文章信息/Info

Title:
Effect of antibiotic solution flushing on prevention of pacemaker pocket infection in elderly patients
作者:
夏云峰; 翟红霞; 李良; 刘润梅 ; 张许文; 张春红; 殷亚昕; 张津津
解放军总医院第一附属医院干部病房，北京 100037
Author(s):
Xia Yun-feng;  Zhai Hong-xia;  Li Liang;  Liu Run-mei;  Zhang Xu-wen;  Zhang Chun-hong;  Yin Ya-xin;  Zhang Jin-jin
Department of Geriatrics, 304th Hospital Affiliated to PLA General Hospital, Beijing 100037,China
关键词:
起搏器植入; 抗生素; 起搏器囊袋感染; 预防; 老年人
Keywords:
pacemaker implantation; antibiotic;  pacemaker pocket infection; prevention; elder
分类号:
R541.7
DOI:
-
文献标识码:
A
摘要:
目的 了解使用抗生素液冲洗起搏器囊袋对囊袋感染的预防作用。方法 122例患者分为抗生素囊袋预防组和生理盐水对照组，两组手术操作相同，术后经静脉使用抗生素7 d，第7天拆线。术后1、3、6、12月、3年常规随访，观察手术切口及囊袋情况。结果 两组各有1例于术后第4天和第7天发生囊袋感染，两组囊袋感染发生率无显著差别。结论 在老年患者永久起搏器植入术中，使用抗生素冲洗囊袋对囊袋感染发生率无明显影响。
Abstract:
AIM To evaluate the infection preventative effect of antibiotic solution flushing in the pacemaker pocket during the implantation procedure in elderly patients. METHODS One hundred and twenty-two cases with pacemaker implantation were randomized into preventative group and control group. The operation methods of the two groups were the same. Antibiotics via vein were used for seven days and stitches were taken out on the seventh day after pacemaker implantation in the two groups. Follow-up was conducted in 1, 3, 6, 12 months, and 3 years after pacemaker implantation. RESULTS One case suffered from pacemaker pocket infection in each group, which occurred on the fourth and the seventh day respectively. The incidence of pocket infection in the two group was similar. CONCLUSION Pacemaker pocket flushing with antibiotic solution is not very effective in reducing pocket infection during the implantation procedure in elderly patients.

参考文献/References

［1］ Wade JS，Cobbs CG. Infections in cardiac pacemakers［J］. Curr Clin Top Infect Dis, 1988,9(1):44-61.

［2］ 余培祯，李国强.埋藏式起搏器术后感染的处理［J］.中国心脏起搏与心电生理杂志，1994，8(2)：79－81.

［3］ Hall JA, Grace AA, Newell SA, et al. Prospective evaluation of the early complications of 1136 single chamber permanent pacemaker implantations［J］. Eur J cardiac Pacing Electrophysiol, 1993,3(1):14-20.

［4］ Dwivedi SK, Saran RK, Khera P, et al. Shortterm(48 hours) versus longterm(7 days ) antibiotic prophylaxis for permanent pacemaker implantations［J］. Indian Heart J, 2001,53(6):740-742.

［5］ Cohen MI, Bush DM, Gaynor JW, et al. Pediatric pacemaker infections: twenty years of experience［J］. J Thorac Cardiovasc Surg, 2002,124(4):821-827.

［6］ Trigano JA, Paganelli F, Fekhar S, et al. Pocket infection complicating inadvertent transarterial permanent pacing. Successful percutaneous explantation［J］. Clin Cardiol, 1999,22(7):492-493.

备注/Memo

备注/Memo:
收稿日期：2007-05-21.作者简介：夏云峰，主任医师，硕士 Email：xiayf3691@sina.com
更新日期/Last Update: