双心室三腔起搏器15例随访结果分析  

A FOLLOW-UP STUDY FOR 15 PATIENTS WITH IMPLANTED PACEMAKER OF THREE-CHAMBER BIVENTRICULAR

作　　者：成益[1] 王卫明[1] 邵山[1] 

机构地区：[1]江苏省常州市第一人民医院心内科,213003

出　　处：《中国煤炭工业医学杂志》2013年第9期1463-1465,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的了解患者植入起搏器后的心功能状态、术后起搏器工作状况及其并发症,并对随访结果进行比较分析。方法选取2008年8月—2012年4月在我院安装双心室三腔起搏器的15例患者临床资料及随访结果进行回顾性总结分析。结果患者的临床症状明显改善,6min步行距离、左室射血分数、左室舒张末内径较术前显著提高。发生并发症7例,随访中有2例死亡。结论心脏再同步化治疗扩张型心肌病合并左束支阻滞患者能改善心脏功能,需重视患者术后定期随访,早期发现,及时处理,可降低并发症发生率,避免严重不良后果。Objective to investigate the heart function, improvement of symptoms after surgery, working status of pacemaker, and complications after patients with implantation of permanent pacemakers. And then analyze and compare the follow- up results. Methods The data of 15 patients received implantation of Three- chamber biventricular pacemakers in author~ hospital from August 2008 to April 2012 were ret- rospectively analyzed. Results Significant clinical improvements were achieved as evidenced by better re- sults of heart functions,6- rain walk,left ventricular ejection fraction and left ventricular end- diastolic di- ameter. Pacemaker complications were found in 7 cases, two of them were dead. Conclusions Cardiac re- synchronization therapy（CRT） can improve ventricular structure and function in dilated cardiomyopathy pa- tients with left bundle branch block. We should pay more attention to regular follow- up, in- time dia- gnosis as well as correct manage for pacemaker complications after operation.

关 键 词：心脏再同步化治疗 心力衰竭 双心室三腔起搏器 随访 

分 类 号：R654[医药卫生—外科学]