Mezilis N, Hough R E, Oakley G D
Cardiothoracic Unit, The Northern General Hospital, Sheffield, England.
Pacing Clin Electrophysiol. 1997 Dec;20(12 Pt 1):2992-4. doi: 10.1111/j.1540-8159.1997.tb05472.x.
Two patients with metastatic pacemaker infections, one caused by Pseudomonas aeruginosa, 5 months after implantation, and the second by Streptococcus pneumoniae, 8 years after implantation, were treated successfully by removal of the pacemaker systems. Infection reoccurred in the patient with Pseudomonas aeruginosa, who initially underwent partial pacing system removal allowing the atrial lead to remain. Repeat partial atrial lead removal and contralateral pacemaker implantation was followed by clinical infection, which was resolved when both the implanted atrial lead fragment and the recently implanted pacemaker were both removed. Removal of all hardware is required for cure of pacemaker infection.
两名患有转移性起搏器感染的患者，一名在植入后5个月因铜绿假单胞菌感染，另一名在植入后8年因肺炎链球菌感染，通过移除起搏器系统均成功治愈。铜绿假单胞菌感染的患者感染复发，该患者最初接受了部分起搏器系统移除，保留了心房导线。再次进行部分心房导线移除并植入对侧起搏器后出现临床感染，当移除植入的心房导线碎片和最近植入的起搏器后感染得到解决。起搏器感染的治愈需要移除所有硬件。
