CAJ | 학술논문

目的：分析361例心脏起搏器植入术患者并发症发生情况，并探讨相应处理策略。方法选择遵义医学院附属医院2010年6月—2014年6月收治的行心脏起搏器植入术的361例患者，随访截至2015年1月，回顾性分析患者心脏起搏器植入术术中及术后并发症发生情况，并总结相应处理策略。结果361例心脏起搏器植入术患者并发症发生率为9.97%（41/361），其中电极移位10例（2.77%）、心律失常9例（2.49%）、囊袋血肿6例（1.66%）、囊袋感染6例（1.66%）、气胸5例（1.38%）、起搏器综合征3例（0.83%）、心力衰竭2例（0.55%）。经相应处理后患者基本恢复正常。结论心脏起搏器植入术的主要并发症有电极移位、心律失常、囊袋血肿、囊袋感染、气胸、起搏器综合征及心力衰竭。术前需评估心脏起搏器植入术可能出现的并发症，术中规范操作，术后加强随访管理，做到早发现、正确处理相应的并发症，以降低心脏起搏器植入术并发症发生率。
목적：분석361례심장기박기식입술환자병발증발생정황，병탐토상응처리책략。방법선택준의의학원부속의원2010년6월—2014년6월수치적행심장기박기식입술적361례환자，수방절지2015년1월，회고성분석환자심장기박기식입술술중급술후병발증발생정황，병총결상응처리책략。결과361례심장기박기식입술환자병발증발생솔위9.97%（41/361），기중전겁이위10례（2.77%）、심률실상9례（2.49%）、낭대혈종6례（1.66%）、낭대감염6례（1.66%）、기흉5례（1.38%）、기박기종합정3례（0.83%）、심력쇠갈2례（0.55%）。경상응처리후환자기본회복정상。결론심장기박기식입술적주요병발증유전겁이위、심률실상、낭대혈종、낭대감염、기흉、기박기종합정급심력쇠갈。술전수평고심장기박기식입술가능출현적병발증，술중규범조작，술후가강수방관리，주도조발현、정학처리상응적병발증，이강저심장기박기식입술병발증발생솔。
Objective To analyze the incidence of complications in 361 patients undergoing pacemaker implantation and its treatment strategy. Methods A total of 361 patients undergoing pacemaker implantation were selected in the First Affiliated Hospital of Zunyi Medical College from June 2010 to June 2014,and they were followed up till January 2015 to observe the incidence of complications and summarize the treatment strategy. Results A total of 41 cases occurred complications (9. 97%),including 10 cases with electrode dislocation(2. 77%),9 cases with arrhythmia(2. 49%),6 cases with pocket hematoma( 1. 66%), 6 cases with pocket infection ( 1. 66%), 5 cases with pneumothorax ( 1. 38%), 3 cases with pacemaker syndrome(0. 83%),2 cases with heart failure(0. 55%),and all of them returned to normal after corresponding treatment. Conclusion Electrode dislocation, arrhythmia, pocket hematoma, pocket infection, pneumothorax, pacemaker syndrome and heart failure are common complications of pacemaker implantation. Evaluating the possibility of complications before operation,standardized operation during operation and intensive follow-up were necessary to early find and the correctly handle complications of pacemaker implantation,to reduce the incidence of complications.