80例永久性心脏起搏器植入术后并发症分析及护理对策

The complications and nursing in 80 patients with permanent pacemaker implantation

目的探讨永久性心脏起搏器术后并发症发生的原因、临床表现、处理方法及护理对策。方法对我科植入永久性心脏起搏器80例,其中发生术后并发症患者做一回顾分析,包括并发症发生的原因、临床表现及护理措施。结果起搏器囊袋积血4例,起搏器感知障碍2例,起搏器综合征1例,电极脱位1例,起搏器介导性心动过速1例,囊袋感染1例。结论重视永久起搏器术后观察及护理,可早期发现各种并发症并及时处理,以提高患者生活质量并发挥起搏器的最佳功效。

Objective To investigate the cause, clinical symptoms, treatment and nursing strategy associated with pace- maker complications. Methods In 80 patients with permanent pacemaker implantation, the cause, treatment and nursing strategy associated with pacemaker complications were analyzed retrospectively. Results In all patients, there were four cases with pocket blood accumulation, two perceptual disturbances, and the number of occurrence in pacemaker syndrome, loosen electrode, pacemaker intervenient tachycardia, pocket infection was one respectively, Conclusion Pacemaker complications can be perceived and treated as soon as possible by observation and nursing, which is helpful to ensure the effect of permanent pacemaker and improve the life quality of patients.