【摘要】目的:分析永久性人工心脏起搏器植入术后的临床效果及并发症。方法:对40例永久心脏起搏器植入的患者进行随访,观察临床效果,分析术中及术后并发症原因及处理。结果:40例患者手术均获成功,患者术前症状消失或得到不同程度的缓解。随访6-24个月,并发症为起搏器囊袋血肿1例,电极移位1例,起搏器综合症2例,起搏器介导心动过速(PMT)1例,无囊袋感染病例发生。结论:永久心脏起搏器疗效确切,手术规范操作,术后严格管理,重视患者术后定期随访及起搏器知识的宣教,可减少并发症,及时发现、处理各种并发症,避免不良后果发生。

    【关键词】心脏起搏器;临床分析;临床效果;并发症

    doi:10.3969/j.issn.1006-1959.2010.05.047 文章编号:1006-1959(2010)-05-1079-02

    Clinical analysis of cardia permanent pacemaker in 40 cases SUN Fun-qing,CHEN Ping,ZHOU Xiao-lan,et al. Department of Cardiovascular Medicine,Fuqing Municipal Hospital;Fuqing;350300

    【Abstract】Objective:To analyze the clinical therapeutic effect and complications of the operation.Methods:following the 40cases who have planted the permanent pacemakers,analyze the therapeutic effect and complications during and after the plant operation.Results:All cases were succeeded in implanting,and the symptom immediately disappeared or reduced in different degrees.Following 6 months to 2 years,The complication was 4 patients.One case of blood effusion and hematome formation in pocket,one case of 1ead dislocation,two cases of pacemaker syndrome,one case of pacemaker mediated tachycardia,no infection of pacemaker pocket occurred.Conclusion:The effect of the permanent pacemaker is very valuable,reduce the complication by following the cases.Improving the capability of discerning complication,standardizing operation,stricting observationpostoperation,regulating following and education of pacemaker,can decrease the complication rate.The serious result will be avoided by early fingding and timely treatment. ......