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目的：分析植入永久性心脏起搏器并发症发生的原因，探讨防治策略以降低其发生率。方法对64例植入或更换起搏器出现并发症患者的临床资料进行回顾性分析。结果囊袋血肿13例，电极脱位11例，起搏器综合征8例，起搏器介导心动过速6例，切口和(或)囊袋感染6例，阈值一过性升高5例，感知不良5例，心室纤颤4例，气胸3例，脑栓塞2例，心包填塞1例。结论应加强对植入起搏器常见并发症的认识，采取相应措施减少其发生。“,”Objective To discuss the causes and treatment of the complications caused by permanent pacemaker implantation. Methods The clinical data of 64 patients with complications caused by pacemaker implantation or replacement were retrospectively reviewed. Results 13 patients had capsule hematoma,11 had electrode dislocation,8 had pacemaker syndrome,6 had Pacemaker mediated tachycardia,6 had infection at the incision site and/or pacemaker site,5 had increased threshold,5 had sensing dysfunction,4 had ventricular fibril ation,3 had pneumothorax,2 had cerebral embolismand 1 had cardiac tamponade. Conclusion It is necessary to strengthen cognition to the common complications of pacemak.Appropriate meamsures could be taken to avoid these complications.