205例高龄患者永久起搏器植入术并发症分析

Complication in 205 older patient with pace markers implantation were analyzed in order to find causes and treatment

目的 探讨高龄患者永久起搏器植入术的并发症及其防治方法。方法 男103例，女102例，年龄70～98岁。205例起搏器中单腔起搏器162例．双腔起搏器43例。分析并发症的发生原因。结果 发生并发症21例．术后常见的并发症分别是囊袋血肿12例、电极导线脱位4例、囊袋破溃及感染2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。结论 充分的术前准备，严密的术中操作，及时有效的处理并发症，高龄患者行永久起搏器植入术是安全的。

Objective To explore the complication and its cause and treatment of pace markers implantation in older patient. Methods Among 205 older patients aged 70 to 90 years, 103 were male,the others were female. Of these patients, 162 were implanted with single chamber pace marker,43 with dual chamber pace markers. Results 21 patients happened complication（ 10.2 % ）, the common complications related to operation were blood effusion and hematoma formation in pocket 12 cases, lead dislodgement 4 cases and infection with or without pocket rapture 2 cases. Occurrence of blood effusion was related to aspirin administration, lead dislodgement and infection with or without pocket rapture were related to operation. Conclusion To pay attention to ample preparation,close operation and strict observation can decrease the complication rate when pace marker is implanted. The serious result will be avoided by timely and effective treatment. The older patient with pace markers implantation is safe.