人工心脏起博器置入术并发症的预防及护理  

Prevention and nursing of complications of artificial cardiac pacemaker implants

作　　者：卜凤琼[1] 

机构地区：[1]重庆医科大学附属第一医院金山医院,重庆400016

出　　处：《中国卫生产业》2012年第13期35-36,共2页China Health Industry

摘　　要：目的探讨人工心脏起博器置入术并发症的护理及有效预防措施。方法对2010～2011年期间心内科收治的562例因病态窦房结综合征而进行人工心脏起博器置入术患者的临床资料进行回顾分析。结果成功置入人工心脏起博器562例,其中VVI427例,DDD117例,ICD18例。24例出现了并发症,其发生率为4.27%,包括起博器综合症7例,囊袋出血6例,囊袋感染5例,心律失常2例,电极脱位2例,右室电极穿孔1例,气胸1例。结论人工心脏起博器置入术后并发症的发生率虽然较低,但后果严重。术前采用有效的健康教育,术中医护密切配合,术后细心、恰当的护理有助于预防心脏起博器置入术并发症的发生。Objective To investigate the prevention and nursing of complications of cardiac pacemaker implants. Methods The clinical data of 562 patients receiving artificial cardiac pacemaker implants due to sick sinus syndrome（SSS） were retrospectively analyzed. Results 562 artificial cardiac pacemakers were successfully implanted. Among them, 427 were VVI pacemakers, 117 were DDD pacemakers, 18 were ICD pacemakers. There were 21 cases of patients suffered from complications related to artificial cardiac pacemaker implants. The percentage of complications was 4.27%, including seven cases of pacemaker syndrome, six cases of tissue bag hemorrhage, five cases of tissue bag infection, two cases of arrhythmias, one case of pacing electrode dislocation, one case of right ventricular perforation and one patient suffered from pneumothorax related to artificial cardiac pacemaker implants. Conclusion Although the percentage of complications after artificial cardiac pacemaker implants was relatively low, some maybe cause serious consequences. Effective prevention measures before performance of cardiac pacemaker implants put to use and after surgical operation pay more attention to and proper nursing to carrying on may be helpful to reduce the serious complications related to artificial cardiac pacemaker implants.

关 键 词：人工心脏起博器置入术 并发症 预防/护理 

分 类 号：R473.5[医药卫生—护理学]