留置引流条预防起搏器囊袋血肿的疗效观察  

The Observation of Treatment about Retaining the Drainage Strips to Prevent Pacemaker Pouch Hematoma

作　　者：毕磊[1] 周冬翠[1] 

机构地区：[1]北京军区总医院干部病房一科,北京100700

出　　处：《医学综述》2013年第19期3611-3613,共3页Medical Recapitulate

摘　　要：目的探讨永久性心脏起搏器植入术后囊袋血肿的防治策略。方法选取2008年1月至2012年5月在北京军区总医院安置永久性起搏器患者68例,根据起搏器囊袋内是否预留引流条分为两组,对照组(30例)给予常规缝合,加压包扎,观察组(38例)除按对照组处理外,缝合时在起搏器囊袋内预留引流条,术后24 h内拔除,观察囊袋血肿及组织愈合情况。结果对照组囊袋血肿发生率为16.7%(5/30)高于观察组的2.63%(1/38),差异有统计学意义(P<0.05),两组患者切口均达到甲级愈合,拆线时间则无明显差别。结论术中预留引流条预防起搏器囊袋血肿安全、有效。Objective To investigate the prevention strategy about the pouch hematoma after implanting the permanent pacemaker. Methods Sixty-eight patients who were implanted the permanent pacemaker in Military General Hospital of Beijing PLA from January 2008 to May 2012 were selected and divided into two groups. The wound of the patients in the control group （30 cases）was sutured routinely. The treatment of the observation group（38 cases）was not only like the control group, but were placed the drainage strips in the pouch, finally the drainage strips were pulled up after 24 hours. The situation about the pouch hematoma and the tissue healing were observed. Results The incidence rate of the control group （ 16.7%, 5/30 ） was higher than the observation group（ 2.63%, 1/38 ）. There was significant difference between the two groups （ P 〈 0.05 ）. The wounds of the two groups healed very well Time of taking out the stitches was not obviously different between them. Conclusion It＇s safe and effective to retain drainage strips to prevent the pacemaker pouch hematoma.

关 键 词：心脏起搏器 囊袋血肿 引流条 

分 类 号：R541.7[医药卫生—心血管疾病]