埋藏式心脏起搏25例死因探讨

ANALYSIS OF THE CAUSES OF DEATH OF 25 CASES WITH IMPLANTED ENDOCARDIAL PACEMAKER

本文报道我院1981年至1991年使用埋藏式心脏起搏器345例次(274例),经平均59个月随访,死亡25例,死亡率9.1%。死因依次为进行性心力衰竭、猝死、肾功衰竭、并发恶性肿瘤、脑出血、肝硬化大呕血等。提出严格掌握适应证、选用合适的起搏系统、加强对高危患者的随访和处理有助于降低死亡率。

Three hundred and forty-five cases of endocardial pacemaker implantation were performed in this hospital in the past 10 years (from 1981 to 1991) and followed up for an average of 59 months with 25 cases of death. Progressive heart failure, sudden death, co-existed tumors, renal failure and cerebral hemorrhage were the major causes of death, Strict selection of patients, good quality of the pacemaker, intensive follow-up and proper management of the underlying heart disease are important measures to reduce mortality.