摘要
目的:探讨永久性起搏器植入术后的并发症及起搏功能异常的原因,以减少其发生率。方法:回顾分析51例植入永久性起搏趋患者的术后临床资料和5年常规随访资料,了解术后并发症及起搏功能异常的发生情况。结果:51例患者中共有6例发生起搏器功能异常:起搏电极导管脱位、电极断裂、电极绝缘层破裂起搏器介导的心动过速(PMT)各1例(1.9%),感知功能障碍4例(7.8%),通过程控或更换起搏器和起搏电极导管后,起搏功能恢复正常。5年随访中,囊袋血肿、囊袋破溃者3例(5.9%),经局部抽出积血,抗生素冲洗,严重者重新手术后取得很好疗效;2例患者出现起搏器综合征,13例患者出现心功能不全,8例患者并发脑梗死。结论:采取相关措施,加强起搏器术后随访工作,可以减少并发症的发生。
Objective Discussion on post - operative complications of permanent pacemaker implantation and pacing dysfunction causes ,in order to reduce its incidence. Method Retrospective analysis was on 51 cases with permanent pacemaker implantation,and postoperative clinical data and conventional 5 - year follow - up data. Post - operative complications and the pacing of the occurrence of dysfunction were learned. Results A total of 51 cases of patients with 6 cases of pacemaker dysfunction occurred : Pacing electrode catheter dislocation example 1 ( 1.9% ) , electrode fraeture example 1 ( 1.9% ) , electrode insulation layer breakdown of example 1 ( 1.9% ) ,4 cases of perceptual dysfunction (7.8%) , pacemaker - mediated tachycardia (PMT) 1 example ( 1.9% ), adopted to adjust the pacing parameters or replacement of pacemakers and pacing electrode catheter, pacing function returned to normal;5 - year follow - up,3 cases of capsular hematoma and capsular rapture (5.9%) , out by local hematocele, antibiotic rinse, closed cavity,in severe cases, re - incision and drainage to re-move blood clots after compression bandaging article, in severe cases of infection,clear sinus, closed cavity,catheter inserted in the contralateral re - production of capsular bag implantation of pacemaker, to strengthen the anti - inflammatory treatment, made a very good effect. Two cases with pacemaker syndrome, 13 cases with cardiac dysfunction,8 eases with cerebral infarction. Conclusion Through the strengthening of pacemaker implantation in patients with long - term postoperative follow - up job, timely detection of certain pacing dysfunction, pacing dysfunction to explore the reasons for and deal with accordingly, so back to normal pacemaker function;found that pacemaker - related complications and to find the law, to facilitate the reduction of complications.
出处
《吉林医学》
CAS
2009年第22期2735-2737,共3页
Jilin Medical Journal
关键词
永久起搏器
起搏功能异常
起搏器综合征
随访
Permanent pacemaker
Pacemaker dysfunction
Pacemaker syndrome
Follow-up