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目的探讨永久性起搏器植入术后并发症的原因及处理方法。方法对126例患者的临床资料进行回顾性分析。结果 126例植入永久起搏器患者发生并发症28例:气胸1例,室性心律失常9例,囊袋血肿7例,囊袋破裂1例,导线移位2例,电极导线尾端与脉冲发生器连接不紧1例,起搏器综合征4例,起搏器介导的室性心动过速(PMT)1例,肌肉跳动2例。结论充分术前准备,手术规范操作,术后严格管理及定期随访,可减少并发症的出现。
Objective To investigate the causes and treatment of complications after permanent pacemaker implantation. Methods The clinical data of 126 patients were retrospectively analyzed. Results There were 28 complications in 126 patients with permanent pacemaker: pneumothorax in 1, ventricular arrhythmia in 9, pouch hematoma in 7, pouch in 1, and wire displacement in 2, 1 impaired pulse generator connection, 4 pacemaker syndromes, 1 pacemaker-mediated ventricular tachycardia (PMT) and 2 muscle beatings. Conclusion The adequate preoperative preparation, operation and standard operation, strict management and regular follow-up after operation can reduce the occurrence of complications.