CAJ | 학술논문

目的：探讨永久性心脏起搏器植入术中及术后并发症发生的原因、处理方法及其预防措施。方法：回顾性分析我院2012年6月～2013年12月186例永久性心脏起搏器患者的临床资料。结果：发生起搏器并发症23例（12．37％）。其中，误穿锁骨下动脉1例，术后起搏器囊袋血肿5例，起搏器囊袋破溃2例，电极脱位2例。结论：起搏器术后并发症是影响疗效的主要问题，加强术前预防、术中规范操作、术后观察随访，可将并发症减少到最低限度，使之发挥最佳治疗效益。
목적：탐토영구성심장기박기식입술중급술후병발증발생적원인、처리방법급기예방조시。방법：회고성분석아원2012년6월～2013년12월186례영구성심장기박기환자적림상자료。결과：발생기박기병발증23례（12．37％）。기중，오천쇄골하동맥1례，술후기박기낭대혈종5례，기박기낭대파궤2례，전겁탈위2례。결론：기박기술후병발증시영향료효적주요문제，가강술전예방、술중규범조작、술후관찰수방，가장병발증감소도최저한도，사지발휘최가치료효익。
Objective To investigate the causes ,the appropriate remedies and the preventions of the complication in the patients with implanted cardiac pacemaker during implanting operation and after implantation Methods The clinical and follow -up data of 186 patients with implanted cardiac pace-maker were analyzed retrospectively from the June in 2012 to the December 2013 in this hospital .Results There were 23 patients with complications , with 1 patients with puncturing into subclavical artery ,5 patients with blood .effusion and hematoma formation in pacemaker sac ,2patient with bro-ken pacemaker sac ,2 patients with lead dislocation .Conclusions The complications after cardiac pacemaker implantation are main influence factors of curative effect of cardiac pacemaker .Adequate preparation to prevention ,skillful technique in operation and follow -up visit positively are necessary to decrease the complication and increase treatment benefit .