永久性心脏起搏器植入后并发症分析

Analysis of Complications After Permanent Pacemaker Implantation

目的研究分析永久性心脏起搏器植入后并发症的发生原因、处理方法和防治方案。方法回顾性分析2010年6月—2014年6月期间,该院收治的82例植入永久性心脏起搏器患者的临床资料,总结术后并发症的发生原因和处理方法。结果82例患者中,有7例患者出现了并发症,电极导线脱位1例,导线尾端与脉冲发生器连接不紧1例,起搏器综合征1例,上肢深静脉血栓1例,气胸1例,囊袋血肿或感染2例。结论临床医师应深入了解永久性心脏起搏器植入后可能出现的并发症,重视术前预防和术中操作,加强患者的健康教育,及时发现并处理术后并发症,将并发症的危害降到最低。

Objective To analyze the causes of complications after permanent pacemaker implantation, and its treatment and prevention programs. Methods We conducted a regression analysis on the clinical data of 82 patients who were admitted to our hospital between June 2010 and June 2014 and underwent permanent pacemaker implantation, and then summarized the causes of complications and its treatment. Results Out of the 82 patients, 7 patients were found with complications including 1 case of electrode wire dislocation, 1 of bad contact between conducting wire and pulse generator, 1 of pacemaker syndrome, 1 case of deep venous thrombosis of upper limbs, 1 of pneumothorax, 2 cases of pocket hematoma or infection. Conclusion Clinicians should understand deeply the complications that may occur after permanent pacemaker implantation, and treated it timely once found to minimize its harm based on positively preoperative prevention and proper intraoperative operations, and on strengthening health education for patients.