494例永久心脏起搏器植入的并发症及分析处理
发布时间：2018-10-10 08:09
【摘要】：选择山东省立医院自2005年1月至2012年4月间因各种缓慢型心律失常和快速型心律失常植入永久心脏起搏器(包括ICD)的患者共计494名。其中男性患者247名,女性患者247名,男：女=1：1。年龄最大者89岁,最小者6岁,平均年龄65岁。494名患者中：病态窦房结综合征者387例,Ⅲ度房室传导阻滞者103例；室速、室颤者2例,心衰2例。其中植入单腔起搏器共192例,双腔起搏器298例,三腔起搏器2例,ICD2例。随访494名患者,发生并发症共计31例。分别为囊袋感染12例,占2.4%；囊袋血肿(积血)4例,占0.8%；起搏器综合征4例,占0.8%；电极导线脱位4例,占0.8%；电极导线断裂2例,占0.4%；起搏器介导的心动过速1例,占0.4%；误穿锁骨下动脉2例,占0.4%。电池提前耗竭1例,占0.2%；心肌穿孔1例,占0.2%。分析并发症出现的原因,并给予积极妥善的处理,旨在提高医务人员对并发症的重视,及时发现,及时处理,并尽量减少其发生率。
[Abstract]:A total of 494 patients with permanent cardiac pacemaker (including ICD) implanted in Shandong Provincial Hospital from January 2005 to April 2012 because of various bradyarrhythmia and tachyarrhythmia were selected. Of these, 247 were male and 247 female, male: female 1: 1. The oldest was 89 years old, the youngest was 6 years old, the average age was 65 years. 494 patients included 387 cases of sick sinus node syndrome, 103 cases of third degree atrioventricular block, 2 cases of ventricular tachycardia, 2 cases of ventricular fibrillation and 2 cases of heart failure. Among them, 192 cases were implanted with single chamber pacemaker, 298 cases with double chamber pacemaker and 2 cases with ICD2 with triple chamber pacemaker. A total of 31 patients were followed up with complications. There were 12 cases of pouch infection (2.4%), 4 cases of pouch hematoma (hemorrhage) (0.8%), 4 cases of pacemaker syndrome (0.8%), 4 cases of dislocation of electrode wire (0.8%), 2 cases of electrode wire rupture (0.4%), and 1 case of pacemaker mediated tachycardia. The subclavian artery was perforated by mistake in 2 cases (0.4%). Early depletion of the battery was found in 1 case (0.2%), myocardial perforation in 1 case (0.2%). To analyze the causes of complications and to deal with them actively and properly, the aim is to improve the medical staff's attention to the complications, to find them in time, to deal with them in time, and to reduce the incidence as far as possible.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R318.11
本文编号：2261276
[Abstract]:A total of 494 patients with permanent cardiac pacemaker (including ICD) implanted in Shandong Provincial Hospital from January 2005 to April 2012 because of various bradyarrhythmia and tachyarrhythmia were selected. Of these, 247 were male and 247 female, male: female 1: 1. The oldest was 89 years old, the youngest was 6 years old, the average age was 65 years. 494 patients included 387 cases of sick sinus node syndrome, 103 cases of third degree atrioventricular block, 2 cases of ventricular tachycardia, 2 cases of ventricular fibrillation and 2 cases of heart failure. Among them, 192 cases were implanted with single chamber pacemaker, 298 cases with double chamber pacemaker and 2 cases with ICD2 with triple chamber pacemaker. A total of 31 patients were followed up with complications. There were 12 cases of pouch infection (2.4%), 4 cases of pouch hematoma (hemorrhage) (0.8%), 4 cases of pacemaker syndrome (0.8%), 4 cases of dislocation of electrode wire (0.8%), 2 cases of electrode wire rupture (0.4%), and 1 case of pacemaker mediated tachycardia. The subclavian artery was perforated by mistake in 2 cases (0.4%). Early depletion of the battery was found in 1 case (0.2%), myocardial perforation in 1 case (0.2%). To analyze the causes of complications and to deal with them actively and properly, the aim is to improve the medical staff's attention to the complications, to find them in time, to deal with them in time, and to reduce the incidence as far as possible.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R318.11
【参考文献】
相关期刊论文 前1条
1 周金台,万征,刘维宇,赵菁,石嘉玲,王文秀,苏中,王佩显;心脏起搏器及其临床应用22年的经验[J];天津医科大学学报;1998年04期
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