目的分析永久性人工心脏起搏术后的临床效果及并发症情况,评价其治疗效果和安全性。方法54例安置永久性人工心脏起搏器患者,所有起搏电极均采用Seldinger法通过穿刺锁骨下静脉置入,观察置入手术成功率及并发症。结果54例患者手术均成功。54例患者术前症状很快消失,35例基础心脏病患者症状得到不同程度的缓解。随访期间无1例死亡。并发症共出现6例次,并发症发生率为11.1%,包括囊袋出血2例,起搏器综合征1例,心律失常1例,电极移位2例。结论及时发现并排除起搏治疗相关并发症,术后加强随访并进行起搏器程控监测,永久性人工心脏起搏术是一种安全、有效、可靠的治疗方法。 Objective To analyze the clinical effect and complications after permanent artificial heart pacing and evaluate its curative effect and safety. Methods 54 cases of permanent artificial pacemaker patients were placed. All the pacemaker electrodes were implanted by puncture of the subclavian vein using Seldinger method. The successful rate and complications were observed. Results All the 54 patients were successfully operated. 54 cases of patients with preoperative symptoms disappear quickly, 35 patients with basic heart disease symptoms have been relieved to varying degrees. No one died during follow-up. Complications occurred in 6 cases, the complication rate was 11.1%, including 2 cases of capsular bag bleeding, 1 case of pacemaker syndrome, 1 case of cardiac arrhythmia and 2 cases of electrode displacement. CONCLUSIONS: The complications related to pacing therapy should be found and eliminated in time. Postoperative follow-up and program-controlled pacemaker monitoring should be performed. Permanent artificial cardiac pacing is a safe, effective and reliable method of treatment.