永久性心脏起搏器植入术患者囊袋相关并发症的原因及防范对策

摘要

ABSTRACT:Objective To investigate the countermeasures and reasons of pouch related complications of permanency cardiac pacemaker implantation.Methods Clinical materials of 129 permanent cardiac pacemaker patients were retrospectively analyzed and reasons of pouch related complications were analyzed.Results 129 patients were implanted heart pacemakers.Pouch relat-ed complications occurred in 12 cases (9.3%),and pouch hematoma occurred in 5 cases (3.9%), pouch infection in 3 cases (2.3%)and pain of pouch area in 4 cases (7.1%).Most patients were able to find inducing factors and these factors were removed through strengthening the nursing edu-cation and proper communication.Conclusion Preoperative evaluation,strengthening intraopera-tive and postoperative nursing,health education and discharge guidance can reduce pouch related complications.%目的：探讨永久性心脏起搏器植入患者囊袋并发症的发生原因及护理对策。方法回顾性分析本院129例安装永久性心脏起搏器患者的临床资料，分析发生囊袋并发症的原因。结果本组129例植入心脏起搏器患者，共发生囊袋相关并发症12例（9．3％），其中囊袋血肿5例（3．9％）、囊袋感染3例（2．3％）、囊袋部位疼痛4例（7．1％）。多数患者均能找到好发因素及诱发因素，通过加强护理及适当沟通教育可去除这些因素。结论做好术前评估，加强术中、术后护理，加强健康教育及出院指导可减少囊袋相关并发症的发生。