CAJ | 학술논문

目的：比较＜70岁患者与≥70岁患者起搏器植入后并发症的发生率，评估起搏器植入术后的安全性。方法选择237例于2006年1月至2011年12月在我院行永久性心脏起搏器植入患者的临床资料，根据年龄分为＜70岁组178例，≥70岁组59例，随访2年比较两组并发症发生情况。结果发生起搏器并发症25例（10.55%），其中囊袋出血/血肿11例，囊袋破溃/感染4例，起搏器介导心动过速5例，起搏综合征4例，电极脱位/断裂1例，两组并发症发生率差异无统计学意义。结论起搏器植入术后并发症并未随年龄增长而明显增加。
목적：비교＜70세환자여≥70세환자기박기식입후병발증적발생솔，평고기박기식입술후적안전성。방법선택237례우2006년1월지2011년12월재아원행영구성심장기박기식입환자적림상자료，근거년령분위＜70세조178례，≥70세조59례，수방2년비교량조병발증발생정황。결과발생기박기병발증25례（10.55%），기중낭대출혈/혈종11례，낭대파궤/감염4례，기박기개도심동과속5례，기박종합정4례，전겁탈위/단렬1례，량조병발증발생솔차이무통계학의의。결론기박기식입술후병발증병미수년령증장이명현증가。
Objective To compare the incidence of complications after cardiac pacer implantation in patients younger and older than 70 years. Methods 237 patients underwent cardiac pacemaker implantation in our hospital from January 2006 to December 2011. Of them, 178 cases were younger than 70 years and 59 cases 70 years or older. The complications were observed during fol ow- up 2 years. Results Pacemaker complications occurred in 25 patients (10.55%), including 11 patients with pocket hemorrhage or hematoma, 4 patients with pocket broken or pocket infection, 5 patients with pacemaker mediated tachycardia, 4 patients with pacemaker syndrome and one patient with lead dislodgement or fracture. There was no significant difference of complications between the two groups. Conclusion The complications after cardiac pacemaker implantation do not increase as age increasing.