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目的 分析永久性心脏起搏器植入患者术后囊袋感染的主要原因及预防措施.方法收集2012 年1 月～2016 年1 月我院收治的183 例行永久性心脏起搏器植入患者的临床资料, 其中观察到16 例术后发生囊袋感染并分析感染发生情况、原因及预防措施.结果 16 例患者给予积极换药、抗生素治疗等.有12 例抗感染成功, 随访期间 (术后1 ～5 年) 未再发囊袋感染; 2 例感染反复发作, 去除原起搏装置后在对侧重新植入起搏器装置;1 例行溃疡清创术后将原起搏器消毒后移位置入治愈;1 例囊袋破溃并导丝外露行清创修复术后将导丝移位后深埋至胸大肌后治愈.结论 对永久性心脏起搏器植入患者,加强术前准备; 控制术中因素, 加强手术环境及参与手术人员的管理; 术后密切观察囊袋情况; 加强出院随访, 预防并减少囊袋感染的发生, 有利于疾病的康复.“,”Objective To analyze the main causes and preventive measures of the pocket infection after implantation of the permanent cardiac pacemaker. Methods 183 Patients with permanent pacemaker implantation were collected in our hospital from January in 2012 to January in 2016. The incidence, causes and preventive measures of the 16 patients with pocket infection after the operation were observed by analyzing their clinical data. Results Among the 16 patients, 12 patients had anti-infection success and no pocket infection occurred during the follow-up (1～5 years after the operation); 2 patients had recurrent episodes of infection and reinstall implantation of pacemaker on the other side instead of the original pacemaker; 1 patients cured after ulcer debridement; 1 pa-tient had capsule rupture and wire exposed, but cured after debridement and repairing the wire into the major muscle. Conclusion For patients with permanent pacemaker implantation, strengthening the preoperative preparation, controlling the intraoperative factors, improving the environment of medical cooperation, closely observing the postoperative bag may prevent and reduce pocket infection and promote the recovery of the patients.