摘要
目的探讨起搏器植入术常见的并发症及防治方法。方法男188例,女122例,年龄22～85岁。310例起搏器中单腔起搏器94例,双腔起搏器216例,分析并发症的发生原因。结果共发生起搏器相关并发症25例,术后常见的并发症分别是囊袋血肿7例、电极导线脱位4例、囊袋破溃及感染9例,起搏器综合征5例。囊袋血肿的发生与术前使用阿司匹林有关,电极导线脱位、囊袋破溃及感染等大部分与手术有关,起搏器综合征与VVI起搏模式有关。结论加深对起搏器常见并发症的了解、提高鉴别能力、重视术前预防,术中规范操作和加强术后随访,可将起搏器并发症降低到低限。
Objective To explore the complications, causes and treatments of pacemaker implantation. Methods Among 310 patients, aged 22 to 85 years old, 188 were male, 122 were female, 94 with single chamber pace maker, and 216 with dual chamber pace markers. Results complications were found in 25 patients, the common complications related to operation included： blood effusion and hematoma formation in pocket（7 cases）, lead dislodgement （4 cases）, infection with or without pocket rapture（9 cases）, and pacemaker syndrome（5 cases）. Blood effusion was related to aspirin administration, lead dislodgement and infection with or without pocket rapture were related to operation, pacemaker syndrome was related to VVI mode. Condusion Good prognosis will be resulted from deep understanding of the usual complications, increased differentiating ability, emphasized pre-operation prevention and strengthened follow up.
出处
《临床心电学杂志》
2008年第6期437-438,共2页
Journal of Clinical Electrocardiology
