485例埋藏式心脏起搏器的临床应用

Clinical application of implantable pacemakers in 485 patients

目的与方法：分析所植入的４８５ 例埋藏式心脏起搏器资料，归纳需安置起搏器的心律失常类型或原因、所植入的起搏器类型及起搏器安置术中及术后常见问题与并发症。 结果与结论：①缓慢型心律失常包括病窦综合征（６０．２％ ）与房室传导阻滞（３３．８％ ）为安置起搏器的主要原因。②所植入起搏器以ＶＶＩ型为主，占９０．７％ ，生理性起搏少，占９．１％ ，尚需加强，另有ＩＣＤ１ 台。

Objectives and Methods:The documents of 485 patients with implantable pacemakers were analyzed for summarizing the category of arrhythmia or reasons for implanting pacemakers,the types of implanted pacemakers and the complications with implanting pacemakers. Results and Conclusions:①Bradyarrhymias including sick sinus syndrome(60.2%) and atrioventricular block(33.8%) were the main reasons for implanting pacemakers.②VVI type pacemaker was the dominant one(90.7%) and implantation of physiological pacemakers,accounting for 9.1%,should be enhanced and an ICD was also implanted.③The incidence of complications with implanting pacemakers was low.