搜索
##起搏器术后感染的识别和处理王玉堂张晔[],,,,,,[];;;;R318.11A1007-2659(2009)01-0075-04:(100853):(1957-),(),,,,,1958,3[1],,(ICD)20,,,,,,10.13%~19.9%[2,3],27%~66%[4,5],2.1%[6]25%,1~28~12Klug[5],,79%,,[7],69%,,10%[8]2004[9],550ICD0~3.9%[10~12],,62%ICD,[13],Cabell[14],100019900.9419992.11,10124%,,,,,2Camus[4],2/3(2213),[15]Chamos[16]60%ICD2007ICD(PE0PLE)44631912,ICD0.68%,24h,[17],,()[1,19~21],,85%[22],,,[1],[22],,,,,18.1%[23]Arber[8]#75#中国心脏起搏与心电生理杂志2009年第23卷第1期[5],6.4,27.6,[24][25],3,,,69%,20%,11%[1](34%~55%),(23%)(21%)(11.5%)(25%)[1,11,23],,10%[8],32%~43%,[5,23],[23]4,,[13],,80%,60%[5],,,(TTE),TTE30%~54%,[8,18](TEE),,90%~96%[5,23,26]TEE,5,,,,,,50%[1],31%~66%[23],0.86%~3.4%[1]13%~33%[23],(Staphylococcusaureusbactere-mia,SAB),:¹;º,;»SAB[27]1~3[28,29],,,,[13],,2000(NASPE),()()(Ñ);,,(Ò)[30]NASPE[31,32],,,,,,,,,,,,,74%~95%[5,26],120%[4][33]17,15,1,94%:¹[31],,º#76#起搏器术后感染的识别和处理[34],(lockingstylet)(telescopingsheath),,,95%[31]»,,,0~3.3%,0~0.8%,[34],,4~6,,[11]AHA,14[35],,51,51%1,3(7.3%)[36]6,,,,;;;;,;;;;;,;,;,,,,,,7,2023,1~2,[37]2003AHA,,,,[13],ICD,,,,,,1ChuaJD,WilkoffBL,LeeI,eta.lDiagnosisandmanagementofinfectionsinvolvingimplantableelectrophysiologiccardiacdevices[J].AnnInternMed,2000,133:6042ConklinEF,GiannelliSJr,NealonTFJr.Fourhundredconsecu-tivepatientswithpermanenttransvenouspacemakers[J].JThoracCardiovascSurg,1975,69:13BluhmG.Pacemakerinfections:aclinicalstudywithspecialrefer-encetoprophylacticuseofsomeisoxazolylpenicillins[J].ActaMedScandSupp,l1985,699:14CamusC,LeportC,RaffiF,eta.lSustainedbacteremiain26pa-tientswithapermanentendocardialpacemaker:assessmentofwireremoval[J].ClinInfectDis,1993,17:465KlugD,LacroixD,SavoyeC,eta.lSystemicinfectionrelatedtoendocarditisonpacemakerleads:clinicalpresentationandmanage-ment[J].Circulation,1997,95:20986,..:,,.[M].:,1996:10097HarcombeAA,NewellSA,LudmanPF,eta.lLatecomplicationsfollowingpermanentpacemakerimplantationorelectiveunitreplace-ment[J].Heart,1998,80:2408ArberN,PrasE,CoppermanY,eta.lPacemakerendocarditis:re-portof44casesandreviewoftheliterature[J].Medicine,1994,73:2999DuvalX,Selton-SutyC,AllaF,eta.lEndocarditisinpatientswithapermanentpacemaker:a1-yearepidemiologicalsurveyoninfectiveendocarditisduetovalvularand/orpacemakerinfection[J].ClinInfectDis,2004,39:6810TrappeHJ,PfitznerP,KleinH,eta.lInfectionsaftercardioverter-defibrillatorimplantation:observationin335patientsover10years[J].BrHeartJ,1995,73:2011KarchmerAW.Infectionofprostheticvalvesandintravascularde-vices.In:MandellGL,BennettJE,DolinR,eds.PrinciplesandPracticeofInfectiousDiseases[M].Philadelphia:ChurchillLiving-stone,2000.903-91712KarchmerAW,LongworthDL.Infectionsofintracardiacdevices[J].InfectDisClinNorthAm,2002,16:47713BaddourLM,BettmannMA,BolgerAF,eta.lNonvalvularcardio-vasculardevice-relatedinfections[J].Circulation,2003,108:201514CabellCH,HeidenreichPA,ChuVH,eta.lIncreasingratesofcardiacdeviceinfectionsamongMedicarebeneficiaries[J].AmHeartJ,2004,147:58215DaCostaA,LelievreH,KirkorianG,eta.lRoleofthepreaxillaryflorainpacemakerinfections:aprospectivestudy[J].Circulation,1998,97:179116ChamosAL,PetersonGE,CabellCH,eta.lStaphylococcusaureusbacteremiainpatientswithpermanentpacemakersorimplantablecardioverterdefibrillators[J].Circulation,2001,104:102917KlugD,BaldeM,PavinD,eta.lRiskFactorsRelatedtoInfec-tionsofImplantedPacemakersandCardioverter-Defibrillators[J].#77#中国心脏起搏与心电生理杂志2009年第23卷第1期Circulation,2007,116:134918HarcombeAA,NewellSA,LudmanPF,eta.lLatecomplicationsfollowingpermanentpacemakerimplantationorelectiveunitreplace-ment[J].Heart,1998,80:24019LewisAB,HayesDL,HolmesDR,eta.lUpdateoninfectionsin-volvingpermanentpacemakers:characterizationandmanagement[J].JThoracCardiovascSurg,1985,89:75820SohailMR,KhanAH,FriedmanPA,eta.lRiskfactorsforelectro-physiologiccardiacdeviceinfections:acasecontrolstudy[C].43rdAnnualMeetingoftheInfectiousDiseaseSocietyofAmerica,2005(Abstract):34321BloomH,HeekeB,LeonA,eta.lRenalinsufficiencyandtheriskofinfectionfrompacemakerordefibrillatorsurgery[J].PACE,2006,29:14222DaCostaA,LelievreH,KirkorianG,eta.lRoleofthepreaxillaryflorainpacemakerinfections:aprospectivestudy[J].Circulation,1998,97:179123CacoubP,LeprinceP,NatafP,eta.lPacemakerinfectiveendo-carditis[J].AmJCardio,l1998,82:48024DohertyJG,RankinR,KerrF.Miliarytuberculosispresentingasinfectionofapacemakerpulse2generatorpocket[J].ScotMtedJ,1996,41:2025KouvousisN,LazarosG,ChristoforatouE,eta.lPacemakerpocketinfectionduetoacremoniumspecies[J].PACE,2002,25:37826VictorF,DePlaceC,CamusC,eta.lPacemakerleadinfection:echocardiographicfeatures,management,andoutcome[J].Heart,1999,81:8227ChamisAL,PetersonGE,CabellCH,eta.lStaphylococcusaureusbacteremiainpatientswithpermanentpacemakersorimplantablecardioverter-defibrillators[J].Circulation,2001,104:102928HanYM,GuX,TitusJL,eta.lNewsel-fexpandingpatentforamenovaleocclusiondevice[J].CatheterCardiovascInterv,1999,47:37029KreutzerJ,RyanCA,GauvreauK,eta.lHealingresponsetotheClamshelldeviceforclosureofintracardiacdefectsinhumans[J].CatheterCardiovascInterv,2001,54:10130NorthAmericanSocietyofPacingandElectrophysiologyL