起搏器囊袋并发症的临床分析  

Clinical analysis of pocket complications in patients with permanent cardiac pacemaker implantion

作　　者：陈萍[1] 杨明[1] 韩凌[1] 陈欣[1] 胡文泽[1] 李晓红[1] 

机构地区：[1]首都医科大学附属复兴医院心脏中心,北京100038

出　　处：《临床内科杂志》2014年第2期119-121,共3页Journal of Clinical Internal Medicine

摘　　要：目的 探讨永久心脏起搏器患者发生囊袋并发症的可能原因、与年龄的关系及处理策略.方法 选择2003年9月～2013年8月于我院置入永久起搏器患者182例,分析囊袋并发症发生的原因.结果 发生起搏器囊袋血肿12例,总发生率为6.6％,其中≥80岁6例,发生率为6.5％;＜ 80岁6例,发生率为6.7％.囊袋破溃及感染2例,总发生率为1.1％,其中≥80岁1例,发生率为1.1％;＜ 80岁1例,发生率为1.1％.并发症的发生与术前未及时停用抗凝药物、术中止血不彻底、囊袋大小不合适有关,与年龄无关.结论 年龄不增加囊袋并发症的发生率,积极术前准备、术中规范操作、术后严格管理,可降低并发症发生的风险.Objective To evaluate the causes, the treatment strategies of pocket complications and relationship with age in patients with permanent cardiac pacemaker implantion. Methods The re- cords of 182 patients with pacemakers implantion from Sep 2003 to Aug 2013 in Fuxing Hospital were re- viewed,pocket complications of the patients were analyzed. Results There were 12 patients（6.6% ） who occurred pocket hematoma. 6 cases（6.5% ） over 80 years old,6 cases（6.7% ）under 80 years old. There were 2 patients（ 1.1% ） who occurred pocket infection. 1 case（ 1.1% ） over 80 years old, 1 case（ 1.1% ） under 80 years old. Incidence of complications had related with anticoagulants not timely deactivated, not thorough hemostasis, size pocket making inappropriate in the operation, regardless of age. Conclusion There was no statistical difference in incidence of pocket complications with increasing age. Preoperative active preparation, intraoperative standardize operations, postoperative strict management could reduce the risk of complications.

关 键 词：心脏起搏器 囊袋并发症 

分 类 号：R654.2[医药卫生—外科学]