起搏器植入术中严重并发症患者的急救护理

Emergency nursing of the severe complication during the implantation of permanent pacemaker

目的探讨起搏器植入术中发生伴有急性血流动力学变化的严重并发症患者的急救护理方案。方法回顾性分析2 027例起搏器植入患者的临床资料，对术中发生严重并发症的9例患者的抢救资料进行分析，总结急救护理方案。 结果严重并发症的发生率为0.4%（9/2 027）。9例严重并发症类型有4例气胸，2例心包填塞，1例室性心动过速心室颤动，2例急性左心衰竭。术中密切观察症状及生命体征的变化，及时发现并发症，并根据不同类型的并发症进行针对性的护理处理，患者预后良好。结论起搏器植入术中出现严重并发症凶险，利用针对性的分类护理方案进行急救，可提高急救成功率。

ObjectiveTo evaluate emergency nursing methods to permanent pacemaker patients with severe complication and acute hemodynamic changes during implantation.MethodsThe emergency nursing methods were analyzed retrospectively in 9 of 2 027 patients over 6 years, who had serious complication occurred during the pacemaker implantationResultsThere were 4 patients with pneumothorax, 2 with pericardial tamponed, 1 with ventricular fibrillation and 2 with acute left ventricular failure in 9 patients （0.4%）. Observed the changes of symptoms and signs carefully, found the severe complications at the first time and performed the specific nursing based on different kinds of conditions and improved the prognosis of these patients.ConclusionsThe serious complications during the implantation of permanent pacemaker were life-threatening, and the specific nursing scheme to different types of complications could increase the successful rate of emergency service.