永久性心脏起搏器植入280例远期并发症分析

目的:探讨永久性心脏起搏器植入术后远期并发症类型及处理方法。方法:植入永久起搏器患者280例，术后随访≥2年，统计植入术2年后远期并发症发生情况。结果:280例患者发生远期并发症共17例，总发生率6.07%。其中≥60岁组13例，发生率6.34%；<60岁组4例，发生率5.33%，2组差异无统计学意义（P>0.05）。患者并发症中包括相关静脉血栓6例（2.14%）、起搏导线血栓形成4例（1.43%）、电极脱位3例（1.07%）、囊袋破溃感染2例（0.71%）、起搏综合征及起搏阈值明显升高致起搏不良各1例（0.36%）。结论:血栓、电极脱位和囊袋破溃感染在≥60岁患者中的发生率有升高趋势。应重视起搏器植入术前准备，术中强调规范的无菌操作，术后加强随访，早期发现并发症并积极处理。

Clinical analysis of the complications in 280 patients with permanent cardiac pacemaker implantion

Objective:To explore the causes, the treatment of long-term complications with the permanent cardiac pacemaker implantation. Methods:The records of 280 patienrs with pacemakers implantation were reviewed,long-term pacemaker complications of the patients were analyzed. Results:There were 17 patients(6. 07%) who developed the long-term pacemaker complications. 13 cases (6. 34%) over 60 years old,4 cases(5. 33%) under 60 years old,there was no statistical difference in the overall rate of complications between patients aged above 60 years old(P >0. 05);6 cases(2. 14%) of vein thrombosis,4 cases(1. 43%) of pacemaker lead thrombosis.3 cases(1. 07%) of electrode dislocation,2 cases(0. 71%) of pocker ulcerated and infection,1 cases(0. 36%) of pacemaker syndrome and 1 cases(0. 36%) of pacemaker threshold increased significantly to a pacemaker bad. Conclusions:There is an increasing trend in the rate of vein thrombosis,electrode dislocation,pocker ulcerated and infection. Should attach importance to the pacemaker implantation preparation,intraoperative emphasizes the specification of aseptic operation,strengthening postoperative follow-up,as well as the early discovery and treatment of complications could reduce the risk of complications so as to avoid the serious consequences.