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目的:探讨永久起搏器常见并发症发生原因、处理方法及预防措施。方法:回顾我院2005年1月~2007年5月已安装永久起搏器患者326例临床资料及其并发症。结果:并发症共20例,其中误穿刺3例、气胸1例、冠状静脉窦口夹层1例、冠状静脉注入气泡1例,引流条断裂1例、电极接反1例、感知障碍2例、电池提前耗竭1例、起搏器综合征1例、起搏器介入的心动过速1例、电极脱位3例、囊袋血肿4例。结论:加深对起搏器常见并发症的了解、提高鉴别能力、重视术前预防术中规范操作、加强术后随访及起搏器知识教育,早期发现积极处理各种并发症,可将并发症减少到最低限。
Objective: To investigate the causes, treatment and preventive measures of common complications of permanent pacemaker. Methods: The clinical data and complications of permanent pacemaker patients in our hospital from January 2005 to May 2007 were retrospectively reviewed. Results: There were 20 cases of complications, including 3 cases of wrong puncture, 1 case of pneumothorax, 1 case of coronary sinus ostium, 1 case of coronary vein infiltration, 1 case of drainage rod rupture, 1 case of electrode reverse, 2 cases of cognitive impairment, 1 case of battery depletion in advance, 1 case of pacemaker syndrome, 1 case of pacemaker interventional tachycardia, 3 cases of electrode dislocation and 4 cases of cystoid hematoma. Conclusion: To deepen the understanding of the common complication of pacemaker, to improve the ability to distinguish, pay attention to preoperative prevention of intraoperative standard operation, to enhance postoperative follow-up and pacemaker knowledge education, early detection of active treatment of various complications, complications Reduce to the minimum.