文章摘要
张玉琨 王子宽 刘雄涛 郭万刚 郑强荪.永久心脏起搏器植入常见并发症临床分析[J].,2014,14(7):1323-1326
永久心脏起搏器植入常见并发症临床分析
Analysis of Complications in Patients with PermanentPacemakers Implantation
  
DOI:
中文关键词: 永久心脏起搏器植入  并发症  临床分析
英文关键词: Permanence pacemaker  Complications  Clinical analysis
基金项目:国家自然科学基金项目(81100080);陕西省社发公关基金(2011K14-01-02)
作者单位
张玉琨 王子宽 刘雄涛 郭万刚 郑强荪 第四军医大学唐都医院心脏内科 
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中文摘要:
      目的:分析永久心脏起搏器植入术出现并发症的原因、相关因素及预防措施。方法:回顾分析2009 年1 月~ 2011 年12 月 321例永久心脏起搏器植入患者的临床资料。其中男172 例,女149 例,平均年龄56.7± 18.4 岁。其中病态窦房结综合征136 例, 三度房室阻滞97 例;二度II型房室阻滞76例,起搏器更换35 例。结果:321 例植入永久心脏起搏器患者中发生并发症17 例,发 生率为5.29 %。其中与囊袋相关并发症4 例,电极导线相关并发症4 例、起搏器相关并发症2 例,术中操作所致并发症3 例。结 论:深化对起搏器常见临床并发症的了解,进一步完善术前准备,重视术中规范操作并加强术后管理,可降低其并发症的发生率。 关键词:永久心脏起搏器植入;并发症;临床分析
英文摘要:
      Objective:To investigate the causes and treatments of common complications of permanence pacemaker implantation.Methods:The clinical data of 321 patients implanted with pacemaker were retrospectively reviewed. There were 172 male and 149 female patients, including sick sinus syndrome (SSS): 136 cases, complete atrioventricular block 97cases, second degree atrial ventricular block:76 cases and pacemaker replacement: 35 casess. The average age of included patients was 56.7± 18.4 years old. Results:Among the 321 patients, there were 17 patients with complications (5.29%), includeding: blood effusion and hematoma in pocket (4 cases), infection (4 cases), electrode dislocation (4 cases), pacemaker syndrome (1 case) and pneumothorax occurred in 1 patients.Conclusion:Pacemaker implantation is associated with a notable complication risk,and these complications could be significantly decreased with careful decision and appropriate treatment.
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