小儿植入永久性起搏器的并发症及处理体会

Complication of pacemaker implantation in children and relative therapy

目的 分析 14例小儿永久性起搏器中 4例出现并发症的原因和处理体会。 方法 3例感染患儿摘除被感染的整个起搏系统 ,在对侧胸壁重新埋置新的起搏系统 ,对原感染灶用优苏溶液湿敷 ,待新的肉芽组织形成。 结果 3例经上述处理后均被治愈 ,随访 6个月无再次出现感染。 结论 杜绝术中消毒不严的诱因 ,术后若出现电极导线或囊袋感染 ,尽早采取外科清创手术 ,摘除被感染的整个起搏系统 ,选择对侧胸壁植入 ,埋置部位在胸大肌与胸小肌 ,术后 3个月内限制其活动。

Objective To analyse reasons of 4 cases with complication among 14 cases implanted pacemaker and find the curring method.Methods The generator and leads were removed,infective tissue was debrided and wet dressing with eufol solution until granuational tissue grew up.One week later new pacing system was replaced at opposite chest side.Results The most common complication is infection.3 cases of infection were curred after the therapy,and infection did not occured again within following 6 months.Conclusion The causes that disinfection is not strict must be minimized.If erosion occurs,the generator and leads must be removed,debride the erosion and migrate new pacing system between greater and smaller pectoral muscle at opposite chest side.The movement of the patients would be restricted for 3 months.