儿童永久心脏起搏的病因分布及不同起搏方式的比较研究  

Comparison study on the cause of child permanent heart pacing and different pacing mode

作　　者：江荣[1] 李奋[2] 李筠[2] 余志庆[2] 杨健萍[2] 汪俭[1] 

机构地区：[1]安徽省立儿童医院,合肥230051 [2]上海第二医科大学附属儿童医学中心,上海200127

出　　处：《安徽卫生职业技术学院学报》2006年第5期53-54,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨小儿永久性心脏起搏的病因和起搏方式的差异。方法:25例患儿分为两组,A组11例心内膜起搏,其中心脏术后完全性房室传导阻滞(CAVB)7例,先天性CAVB(CCAVB)2例,窦房结功能不全和病毒性心肌炎(VMC)各1例;B组14例心外膜起搏,心脏术后12例,CCAVB2例。结果:心脏术后CAVB19例(76%),CCAVB4例,窦房结功能不全和VMC各1例。起搏器相关并发症:A组无;B组5例,其中4例更换为心内膜起搏。结论:心脏术后CAVB是小儿永久性心脏起搏中最重要和最常见的原因。在安置永久心脏起搏方面以心内膜起搏为佳。Objective To explore the cause of child permanent heart pacing and compare different pacing mode. Methods 25 cases were divided into two groups. Group A： 11 cases setting up endocardial pacemaker. 7 of them were of complete atrio ventricular block （CAVB） after open heart surgery and 2 were of congenital IIIOAV- B. The rest were sinus dysfunction and virus myocarditis. Group B： 14 cases setting up epicardium pacemaker. 12 of them were of complete atrio ventricular block （CAVB） after open heart surgery and 2 were of congenital Ⅱ- IOAV-B. Results Affter open heart surpery,there were 19 case of CAVB（36%）, 4 cases of CCAVB. 1 case of sinus dysfunction and 1 case of virus myocarditis, included no case in group A,5 cases in group B. Conclusion The first important cause for perpetual pacemaker was CAVB after open heart surgery.

关 键 词：心脏起搏 先天性心脏病 完全性房室传导阻滞 心脏手术 

分 类 号：R972.2[医药卫生—药品]