论文部分内容阅读
目的总结分析永久起搏器植入术后心脏功能、并发症种类及原因。方法随访永久起搏器植入术后患者左心室射血分数(LVEF),观察并发症的种类,分析其原因。结果右室心尖部起搏(RVA)术后6个月时LVEF明显低于术前,右室间隔部起搏(RVS)组无明显变化。发生起搏器并发症4例,起搏器囊袋血肿2例,电极移位及电极导线断裂各1例。结论 RVS更符合心脏生理起搏节律,术后心功能改善优于RVA。严格执行操作规范,术后加强随访,以降低并发症发生率。
Objective To summarize and analyze the cardiac function, complications and causes of permanent pacemaker implantation. Methods Follow-up of left ventricular ejection fraction (LVEF) after permanent pacemaker implantation was performed. The types of complications and their causes were analyzed. Results The LVEF of right ventricular apical pacing (RVA) at 6 months after operation was significantly lower than that of preoperative RVP group. Pacemaker complications occurred in 4 cases, 2 cases of pacemaker pouch hematoma, electrode displacement and electrode wire rupture in 1 case. Conclusion RVS is more consistent with cardiac pacemaker rhythm, and postoperative heart function improvement is superior to RVA. Strict implementation of operational norms, postoperative follow-up to strengthen to reduce the incidence of complications.