Harjula A, Järvinen A, Virtanen K S, Mattila S
Thorac Cardiovasc Surg. 1985 Aug;33(4):218-20. doi: 10.1055/s-2007-1014123.
During the years 1977 to 1983, 1,458 pacemakers were implanted or reimplanted in our clinic. Seventy-nine patients were treated during the same period for pacemaker system infections. The time interval between the preceding surgical maneuver and the manifest infection was 11.9 +/- 10.2 months in the catheter fistulas and 12.2 +/- 11.5 months in the pacemaker pocket infections. Forty-one of 79 infections (52%) occurred following the first generator implantation. In 33/43 (76.7%) patients with partial pacemaker system removal, recurrent infection occurred 19.6 +/- 17.2 months later. The infection was treated with similar surgical maneuvers resulting in subsequent infections in 9 patients after 9.8 +/- 7.2 months. In the patients with total pacemaker system removal infection developed in 2/25 (8%). The infection resulted in septicemia in 9 patients. Major surgical intervention was necessary for removal of the infected endocardial electrode in 7 patients. According to our experience there are no grounds for partial removal of the pacemaker system if infection occurs. The primary results may be satisfactory but re-infection will appear in the majority of the patients after a period of several months.
1977年至1983年期间，我们诊所植入或重新植入了1458台起搏器。同期有79名患者因起搏器系统感染接受治疗。导管瘘患者上次手术操作与明显感染之间的时间间隔为11.9±10.2个月，起搏器囊袋感染患者为12.2±11.5个月。79例感染中有41例（52%）发生在首次植入发生器之后。在43例部分移除起搏器系统的患者中，有33例（76.7%）在19.6±17.2个月后发生了复发性感染。感染采用类似的手术操作进行治疗，9.8±7.2个月后9例患者再次发生感染。在25例完全移除起搏器系统的患者中，有2例（8%）发生了感染。9例患者因感染导致败血症。7例患者需要进行大手术以移除感染的心内膜电极。根据我们的经验，如果发生感染，没有理由部分移除起搏器系统。初步结果可能令人满意，但大多数患者在几个月后会再次感染。
