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51例植入永久性起搏器患者5年临床随访分析
引用本文:黎敬锋,倪训业,王厚阳,李世光,陈良余,陆明奎,王超,蔡大炜,张素明,周扬,李银,费亮.51例植入永久性起搏器患者5年临床随访分析[J].吉林医学,2009,30(22):2735-2737.
作者姓名:黎敬锋  倪训业  王厚阳  李世光  陈良余  陆明奎  王超  蔡大炜  张素明  周扬  李银  费亮
作者单位:安徽省滁州市第二人民医院心脏科,安徽滁州239300
摘    要:目的:探讨永久性起搏器植入术后的并发症及起搏功能异常的原因,以减少其发生率。方法:回顾分析51例植入永久性起搏趋患者的术后临床资料和5年常规随访资料,了解术后并发症及起搏功能异常的发生情况。结果:51例患者中共有6例发生起搏器功能异常:起搏电极导管脱位、电极断裂、电极绝缘层破裂起搏器介导的心动过速(PMT)各1例(1.9%),感知功能障碍4例(7.8%),通过程控或更换起搏器和起搏电极导管后,起搏功能恢复正常。5年随访中,囊袋血肿、囊袋破溃者3例(5.9%),经局部抽出积血,抗生素冲洗,严重者重新手术后取得很好疗效;2例患者出现起搏器综合征,13例患者出现心功能不全,8例患者并发脑梗死。结论:采取相关措施,加强起搏器术后随访工作,可以减少并发症的发生。

关 键 词:永久起搏器  起搏功能异常  起搏器综合征  随访

Fifty-one cases of permanent pacemaker implantation in patients with 5-year clinical follow-up analysis
LI Jing-feng,NI Xun-ye,WANG Hou-yang,et al.Fifty-one cases of permanent pacemaker implantation in patients with 5-year clinical follow-up analysis[J].Jilin Medical Journal,2009,30(22):2735-2737.
Authors:LI Jing-feng  NI Xun-ye  WANG Hou-yang  
Institution:LI Jing-feng,NI Xun-ye,WANG Hou-yang,et al(Department of Cardiology,Chuzhou Second People's Hospital of Anhui Province,Chuzhou 239300,China)
Abstract:Objective Discussion on post-operative complications of permanent pacemaker implantation and pacing dysfunction causes,in order to reduce its incidence.Method Retrospective analysis was on 51 cases with permanent pacemaker implantation,and postoperative clinical data and conventional 5-year follow-up data.Post-operative complications and the pacing of the occurrence of dysfunction were learned.Results A total of 51 cases of patients with 6 cases of pacemaker dysfunction occurred:Pacing electrode catheter di...
Keywords:Permanent pacemaker  Pacemaker dysfunction  Pacemaker syndrome  Follow-up  
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