摘要：
[目的]探讨植入永久性心脏起搏器相关并发症发生原因、处理方法及防治措施.[方法]对本院106例安装永久性心脏起搏器的患者进行随访,其中病态窦房结综合征49例,Ⅲ度房室传导阻滞21例,Ⅱ度Ⅱ型房室传导阻滞16例,病态窦房结综合征合并房室传导阻滞12例,持续性心房颤动伴缓慢心室率或3 s以上长间歇8例.[结果]并发症15例,其中包括气胸1例,囊袋内积血及血肿5例,起搏器囊袋感染4例(2例合并囊袋血肿),导线脱位2例,电极导线尾端与脉冲发生器连接不紧1例,起搏器综合征1例,上肢深静脉血栓1例,经及时相应处理后治愈或缓解.[结论]加深对起搏器常见并发症的了解,重视术前预防及术中规范操作,加强术后随访及起搏器知识教育,及时发现并积极处理是预防起搏器相关并发症的关键.%[Objective] To explore the causes, treatment and prevention of the common complications caused by permanent pacemaker implantation. [Methods] Totally 106 patients implanted with permanent pacemaker in our hospital were followed up and analyzed. All patients included 49 patients with sick sinus syndrome, 21 patients with Ⅲ° atrioventricular block(AVB) , 16 patients with Ⅱ° AVB, 12 patients with sick sinus syndrome and AVB and 8 patients with persistent atrial fibrillation and slow ventricular rate or long interval for more than 3 seconds. [Results] There were 13 patients with complications including one patient with pneumothorax, 5 patients with of pocket blood accumulation hematoma, 4 patients with pocket infection(2 cases with pocket hematoma), 2 patients with electrode dislocation, one patient with non-connection of the tail end of electrode cable and pulse generator, one patient with pacemaker syndrome and one patient with upper extremity deep vein thrombosis. After the prompt corresponding treatment, all patients were cured or alleviated. [Conclusion] The common complications of permanent pacemaker implantation should be thoroughly understood. Preoperative prevention and intraoperative standardized operation procedure should be paid attention. Postoperative follow up and the education of pacemaker knowledge should be strengthened. Prompt discovery and actively treatment is the key to prevent the associated complications of pacemaker.
