CAJ | 학술논문

目的通过分析安置永久起搏器后的动态心电图,进而了解永久起搏器的相关起搏功能与可能引发功能障碍的原因,预防可能出现的心律失常等症状.方法选取自2009年2月至2012年5月前往我院进行永久起搏器术后随访检查的患者120例,整理其心电图资料进行分析.结果其中正常起搏107例,占89.2%,包括逆行室房传导、安全性起搏与起搏心律中手风琴现象以及室早后反应与不同程度融合波等;起搏功能发生障碍13例,占10.8%,主要表现为感知异常与起搏异常,如感知不良与感知过度,起搏器电池损耗殆尽与出现起搏功能异常等.有80例患者出现心律失常,主要表现为房性早搏与室性早搏、心房纤颤与短阵房性与室性心动过速等.结论安置永久起搏器后,会使得病人的动态心电图变得复杂化,因此需要定期监测起搏器功能状态,还需不断更新关于新型起搏器的相关知识,这样才可以准确判断正常起搏与起搏障碍,避免因起搏器出现故障而对患者造成危害.
목적통과분석안치영구기박기후적동태심전도,진이료해영구기박기적상관기박공능여가능인발공능장애적원인,예방가능출현적심률실상등증상.방법선취자2009년2월지2012년5월전왕아원진행영구기박기술후수방검사적환자120례,정리기심전도자료진행분석.결과기중정상기박107례,점89.2%,포괄역행실방전도、안전성기박여기박심률중수풍금현상이급실조후반응여불동정도융합파등;기박공능발생장애13례,점10.8%,주요표현위감지이상여기박이상,여감지불량여감지과도,기박기전지손모태진여출현기박공능이상등.유80례환자출현심률실상,주요표현위방성조박여실성조박、심방섬전여단진방성여실성심동과속등.결론안치영구기박기후,회사득병인적동태심전도변득복잡화,인차수요정기감측기박기공능상태,환수불단경신관우신형기박기적상관지식,저양재가이준학판단정상기박여기박장애,피면인기박기출현고장이대환자조성위해.
Objective: through the analysis of dynamic electrocardiogram after placement of a permanent pacemaker, and then understand the the the permanent pacemaker pacing function may lead to dysfunction causes, prevention arrhythmia and other symptoms may occur. Methods: Go to our hospital from February 2009 to May 2012 after permanent pacemaker folow-up examination of 120 patients were finishing their ECG data analysis. Results: normal pacing the 107 cases, accounting for 89.2%, including the the accordion phenomenon of retrograde ventriculoatrial conduction, security pacing and pacing and ventricular early after reaction with varying degrees of fusion wave; pacing dysfunction in 13 cases, accounting for 10.8%, mainly for perceived anomalies and pacing abnormalities, such as perceived adverse oversensing pacemaker battery depletion exhausted pacemaker dysfunction appears. 80 patients with arrhythmia, mainly atrial premature beat and premature ventricular contractions, atrial fibrilation and paroxysmal atrial and ventricular tachycardia. Conclusion: The placement of a permanent pacemaker, wil make the patient ambulatory electrocardiogram becomes complicated, thus the need for regular monitoring of pacemaker function status, the need to constantly update knowledge on new pacemaker, so that it can accurately determine the normal starting stroke and pacing obstacles to avoid harm patients pacemaker failure.