基层医院埋藏式心脏起搏器310例临床分析

目的探讨基层医院植入埋藏式起搏器的病因、适应证,电极植入方法及并发症的防治。方法 310例患者平均年龄71岁,常规采用头静脉切开插入法及锁骨下静脉穿刺法安置电极,224例选用VⅥ型,86例选用DDD型起搏器。结果所有患者临床症状改善,生活质量和劳动力得到提高。结论起搏器是目前治疗缓慢性心律失常最可靠有效的措施,认为精确的电极定位和严格的囊袋处理是基层医院手术成功的关键。

Objective To investigate the pathogenesis,adaptation diseases,methods of implanting electrode and prophylaxis and treatment of complications. Methods Being threaded through either the subclavian vein or the cephalic vein,the electrodes were installed into 310 patients with average age of 71. VVI type was selected for 224 cases while DDD type was implanted into 86 patients. Results The clinical symptoms of all cases were improved as well as the quality of life and labour force. Conclusion The artificial pacemaker is the most reliable and efficient treatment of bradycardia arrhythmia atpresent. Precise positioning of electrode and strict pocket handling are key points for the operations of primary hospital.