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中国临床研究英文版:2018,31(6):800-802
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永久性心脏起搏器植入相关并发症及原因分析
(邢台市人民医院心血管内科,河北 邢台 054031)
Complications and influencing factors of permanent pacemaker implantation
(Department of Cardiology, Xingtai People′s Hospital, Xingtai, Hebei 054031, China)
摘要
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Received:January 16, 2018   Published Online:June 21, 2018
中文摘要: 目的 分析永久性心脏起搏器植入术相关并发症的发生及其影响因素,为临床防治提供参考。方法 选取2012年1月至2014年12月接受永久性心脏起搏器植入治疗的212例患者(包括32例起搏器更换患者),回顾性分析其临床资料及并发症发生原因、处理方法及预防措施。结果 212例永久性心脏起搏器植入患者发生相关并发症21例(9.9%);并发症包括术中6例(误穿锁骨下动脉4例、气胸2例),术后15例(起搏器囊袋破溃2例、囊袋血肿13例),与电极有关的并发症1例(导线断裂1例)、与起搏器有关的并发症2例(起搏综合征1例、心动过速1例)。结论 提高对心脏起搏器植入术并发症的鉴别能力,加强术前预防、规范术中操作、重视术后随访并强化相关知识教育,可降低心脏起搏器并发症风险,从而发挥其最大治疗效益。
中文关键词: 永久性  心脏起搏器  并发症  原因  预防
Abstract:Objective To study the complications associated with permanent pacemaker implantation and the related influencing factors to provide reference for clinical prevention and treatment. Methods A total of 212 patients (including 32 patients undergoing pacemaker replacement)receiving permanent pacemaker implantation from January 2012 to December 2014 were selected, on whom the clinical data were retrospectively analyzed for the causes, treatment methods and preventive measures of complications. Results Out of 21 patients with complications (9. 9%), 6 cases occurred during intraoperative surgery (4 patients with mis punctured into subclacical artery, 2 patients with pneumothorax), 15 cases occurring after operation (1 patient with broken pacemaker sac, 7 patients with hematoma of capsular bag), electrode-related complication was found in 1 case (rupture of pacemaker wire), pacemaker-related complication were found in 2 cases (1 case of pacing syndrome, 1 case of tachycardia). Conclusions To reduce the risk of cardiac pacemaker complications and play the greatest therapeutic benefits, it is necessary to improve the ability identifying the complications of cardiac pacemaker implantation, strengthen preoperative prevention, standardize operation, pay attention to follow-up and strengthen related knowledge education.
文章编号:     中图分类号:R 541.7    文献标志码:B
基金项目:邢台市科技计划项目(2017ZC103)
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