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目的探讨永久心脏起搏器植入术后并发症的种类、发生原因及防治策略。方法对2006年5月至2011年3月安置永久起搏器的82例患者的病例资料进行回顾性分析。结果 82例患者共发生并发症15例,发生率为18.3%,60岁以上患者共12例(14.6%),60岁以下者3例(3.6%)。其中囊袋积血或血肿10例,囊袋破溃3例,囊袋感染1例,电极脱位6例。结论加强对起搏器常见并发症的了解,术前认真准备、术中规范操作、术后密切观察、定期随访,早期发现并积极处理,可有效减少并发症的发生。
Objective To investigate the types, causes and prevention and treatment of complications after permanent pacemaker implantation. Methods The data of 82 cases with permanent pacemaker placed in our hospital from May 2006 to March 2011 were retrospectively analyzed. Results A total of 82 patients had complications in 15 cases, with an incidence rate of 18.3%. A total of 12 patients (14.6%) were over 60 years of age and 3 patients (3.6%) under 60 years of age. Including hematoma or hematoma pouch in 10 cases, 3 cases of pouch ulceration, 1 case of pouch infection, electrode dislocation in 6 cases. Conclusion The comprehension of the common complication of pacemaker is strengthened, preoperative preparation, intraoperative standard operation, close observation after operation, regular follow-up, early detection and active treatment can effectively reduce the occurrence of complications.