心脏植入式电子装置感染的诊治进展
Advances in diagnosis and treatment of cardiac implantable electronic device infection
余根苗 1郑炜平 2黄雄梅 3郑胜武3
作者信息
- 1. 350100 福建福州,福建医科大学省立临床医学院
- 2. 350001 福建福州,福建省立医院心血管病研究所
- 3. 350001 福建福州,福建省立医院整形外科
- 折叠
摘要
随着心血管疾病发生率逐渐升高,心脏植入式电子装置(cardiac implantable electronic device,CIED)在临床治疗中的应用越来越广泛,CIED感染的发病率也随之升高.目前国际各大指南及共识均推荐CIED感染发生后应尽早彻底移除整个装置系统(包括脉冲发生器和电极),然而拔除电极的技术难度及风险较大,部分患者因生理或心理因素无法完成相关手术治疗,因此正确认识感染的发生机制、危险因素、治疗和预防,对临床正确处理CIED感染有重要意义.本文就近年CIED感染诊治进展进行综述.
Abstract
With the gradual increase of the incidence of cardiovascular diseases,cardiac implantable electronic device(CIED)as an important means of treatment has been applied more and more widely in clinical practice,and the incidence of CIED infection has also increased.At present,international guidelines and consensus all recommend that the entire device system(including pulse generator and electrode)should be completely removed as soon as possible after infection.However,the technical difficulty and risk of electrode removal are relatively high,and some patients cannot complete relevant surgical treatment due to physiological or psychological factors.Therefore,a correct understanding of the pathogenesis,risk factors,and treatment and prevention of CIED infection is of great significance for clinicians to correctly deal with CIED infection.This article reviews the recent progress in the diagnosis and treatment of CIED infection.
关键词
心脏植入式电子装置感染/经静脉导线提取/负压伤口疗法/危险因素Key words
cardiac implantable electronic device infection/transvenous lead extraction/negative pressure wound therapy/risk factor引用本文复制引用
基金项目
福建省自然科学基金资助项目(2023J01121782)
出版年
2024
国家科技期刊平台
NSTL
万方数据