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目的:分析永久性起搏器置入术后囊袋感染的相关因素、临床特征,总结预防护理对策。方法:2007年1月~2015年12月,医院植入或重建植入永久性起搏器术后发生囊袋感染患者17例。结果:经过38例次治疗干预,起搏器均正常工作,1例患者形成慢性窦道,1例10个月后愈合、1例残留电极残端皮肤溃疡,至今11个月未愈合;累计住院时间3日-57日,中位时间14日,住院日与处理次数有关;8例患者行囊袋分泌物细菌培养14例次,阳性率50.0%;囊袋感染与是否为重建术、三腔起搏器、囊袋血肿、电极脱位、糖尿病有关,差异具有统计学意义(P<0.05)。结论:永久性起搏器置入术后囊袋感染的相关因素较多,需做好健康教育,减少植入处压迫,做好皮肤清洁管理,若有异常及时就诊。
Objective: To analyze the related factors and clinical features of capsular bag infection after permanent pacemaker implantation and to summarize the preventive nursing measures. Methods: From January 2007 to December 2015, 17 patients with capsular infection occurred after implantation or reconstruction of permanent pacemaker implantation in hospital. Results: After 38 treatments, all the pacemakers worked normally. One patient developed chronic sinusitis, one patient healed after 10 months and one patient had residual electrode stump skin ulcer, which has not healed for 11 months. The cumulative hospitalization The time ranged from 3 days to 57 days, and the median time was 14 days. The hospitalization days were related to the number of treatments. In 8 patients, 14 cases were performed bacterial culture of bladder secretions, the positive rate was 50.0% Pacemaker, cyst hematoma, electrode dislocation, diabetes, the difference was statistically significant (P <0.05). Conclusion: There are many related factors in the postoperative pneumoconiosis infection of permanent pacemaker. Health education is needed to reduce the oppression at the implantation site and do a good job of skin clean management.