高龄患者植入心脏起搏器的并发症及处理  

Complications and Treatment of the Aged Patients after Cardiac Pacemaker Implantation

作　　者：程亚敏[1] 成益[1] 

机构地区：[1]江苏省常州市第一人民医院心内科,江苏常州213003

出　　处：《医学临床研究》2012年第12期2350-2351,共2页Journal of Clinical Research

摘　　要：[目的]分析高龄患者（年龄〉80岁）心脏起搏器植入后并发症情况及处理策略。[方法]39例行心脏起搏治疗的高龄患者，年龄〉80（84．5±5．7）岁，植入单腔起搏器26例，双腔起搏器13例，分析其并发症及处理策略。[结果]术后并发囊袋血肿2例，电极脱位1例，囊袋感染1例，气胸1例，急性脑梗死1例，急性心肌梗死1例，心绞痛加重1例；7例患者经对症处理及调整起搏模式等处理后好转出院，1例脑梗死患者死亡。[结论]高龄患者心脏起搏器植入术后并发症发生率高，术后密切观察，及时处理可改善预后；选择合适的起搏器及模式可减少伴发疾病的恶化。[Objective] To analyze the clinical features and treatment strategy of the complications of the elderly patients（over 80 years old） after cardiac pacemaker implantation. [Methods] The complications and treatment strategy of 39 elderly patients（over 80 years old, mean 84.5± 5.7 years old） who received cardiac pacemaker implantation including 26 patients implanted with single chamber pacemaker and 13 patients implanted with dual chamber pacemaker were analyzed. [Results] The postoperative complications were capsular hematoma in 2 cases, electrode dislocation in 1 case, bag infection in 1 case, pneumothorax in 1 case, acute cerebral infarction in 1 case, acute myocardial infarction in 1 case and aggravated angina pectoris in 1 case. Seven patients were improved and discharged from the hospital after the symptomatic treatment and the adjustment of the pacing mode. One patient died of cerebral infarction. [Conclusion] Elderly patients with pacemaker implantation have a high incidence of postoperative complications. Postoperative close observation and timely treatment can improve the prognosis. Appropriate pacemaker and mode can reduce the deterioration of the accompanied diseases.

关 键 词：心脏起搏 人工 起搏器 人工 手术中并发症 

分 类 号：R541.74[医药卫生—心血管疾病]