心脏起搏器术后并发症的分析及处理

Clincal analysis and management of complications of pacemaker implantation

目的分析永久性心脏起搏器置入术后并发症的原因及处理方法。方法回顾性分析325例心脏起搏器置入术后出现并发症患者的临床资料。结果发生起搏相关的并发症包括囊袋血肿8例,电极穿孔2例,电极导线脱位4例,起搏器综合征3例,深静脉血栓3例,BackupVVI起搏1例,导线断裂1例。结论充分认识起搏相关的各种并发症,重视术前准备,严格规范起搏器置入术的操作,术后密切观察病人。

Objective To analyze the etiology and treatment of complication in patients with implanted cardiac pacemakers.Methods We retrospectively analyzed the clinical situations of 325 pacemaker patients.Results We found complications as such blood effusion and hematoma formation in pocket（8 cases）,lead perforation（2 cases）,lead dislocation（4 cases）,pacemaker syndrome （3 cases）,thrombosis information in deep vein（3case）.Backup VVI pacing（1 case）,lead break（1 case）.Conclusion We should pay attention to the complications of pacemaker,improve the capability of discerning complication,standardize operation,give the patient strict observation after the operation,regular following up,and so on,and these can decrease the complications.