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目的:探讨永久性起搏器植入术后的并发症及起搏功能异常的原因,以减少其发生率。方法:回顾分析51例植入永久性起搏趋患者的术后临床资料和5年常规随访资料,了解术后并发症及起搏功能异常的发生情况。结果:51例患者中共有6例发生起搏器功能异常:起搏电极导管脱位、电极断裂、电极绝缘层破裂起搏器介导的心动过速(PMT)各1例(1.9%),感知功能障碍4例(7.8%),通过程控或更换起搏器和起搏电极导管后,起搏功能恢复正常。5年随访中,囊袋血肿、囊袋破溃者3例(5.9%),经局部抽出积血,抗生素冲洗,严重者重新手术后取得很好疗效;2例患者出现起搏器综合征,13例患者出现心功能不全,8例患者并发脑梗死。结论:采取相关措施,加强起搏器术后随访工作,可以减少并发症的发生。
Objective: To investigate the complications of permanent pacemaker implantation and the reasons of pacing dysfunction in order to reduce its incidence. Methods: The postoperative clinical data and 5-year follow-up data of 51 patients with permanent pacing were retrospectively analyzed to understand the incidence of postoperative complications and pacing dysfunction. Results: A total of 6 patients (51%) had pacemaker dysfunction: 1 case (1.9%) of pacemaker-lead-induced dislocation, electrode rupture and electrode insulation rupture pacemaker-induced tachycardia In 4 cases (7.8%) of dysfunction, pacing function returned to normal after programmed or replacement of pacemaker and pacemaker lead. After 5 years of follow-up, 3 cases (5.9%) had cyst hematoma and cyst rupture, and local hemorrhage and antibiotic flushing were performed. In severe cases, reoperation was successful and 2 cases had pacemaker syndrome, Thirteen patients had cardiac insufficiency and eight patients had cerebral infarction. Conclusion: To take relevant measures to strengthen the pacemaker postoperative follow-up work, can reduce the incidence of complications.