68例患儿心外膜永久起搏器植入术后并发症观察与护理

目的 总结68例儿童心外膜永久起搏器植入术后并发症的观察与护理。方法 选择2015年1月—2019年12月在我院行心外膜永久起搏器植入术的68例患儿的临床资料,分析其术后并发症观察与护理要点。结果 68例儿童心外膜永久起搏器植入术后出现并发症有17例,包括囊袋感染2例、手术切口感染1例、胸腔积液1例、起搏器综合征1例、电极功能异常12例,经过治疗及精心护理后,症状较术前改善均顺利出院。结论 心外膜永久起搏器植入术后患儿容易发生伤口愈合不良、感染及电极故障等术后并发症,及时发现并通过积极治疗,加强术后观察,做好预防性护理,可降低并发症的发生率,改善预后,促进康复。

Complications after Epicardial Permanent Pacemaker Implantation and Nursing: A 68-case Study

Objective To summarize the nursing experience of complications after epicardial permanent pacemaker implantation in 68 children. Methods Clinical data of 68 children undergoing epicardial permanent pacemaker implantation in our hospital from January 2015 to December 2019 were reviewed and the complications after implantation and its nursing were analyzed. Results Complications were found in 17 cases, with 2 cases of pocket infection, 1 of incision infection, 1 of pleural effusion and 12 of electrode dysfunction. All the patients discharged with the improvement of complications after targeted treatment. Conclusion Complications including poor wound healing, infection and electrode dysfunction are found after epicardial permanent pacemaker implantation. Postoperative observation and preventive nursing are conducive to reducing the incidence of complications and enhancing the recovery of the children.