永久起搏器发生感染虽不常见,但对其诊断和处理的确存在某些困难。为此作者介绍有关永久起搏器系统感染的预防、处理和外科手术的经验。临床资料:Mayo 诊所及其附属医院从1974年1月到1983年12月有75例感染累及永久起搏器(感染率为0.4%～1.4%)。病人的平均年龄61岁(28～87岁),77%是男性,65例起搏系统是经静脉,10例是心外膜。73例是心室按需起搏系统,2例 Perpetual pacemaker infection is uncommon, but there are some difficulties with its diagnosis and management. To this end, the author introduced the prevention, treatment and surgical experience of permanent pacemaker system infections. Clinical data: Mayo Clinic and its affiliated hospitals from July 1974 to December 1983, 75 cases of permanent implants involving the infection (infection rate of 0.4% to 1.4%). The average patient age was 61 years (28-87 years), 77% were male, 65 were pacing through the veins, and 10 were epicardial. 73 cases were ventricular on-demand pacing system, 2 cases