Abstract: Objective: To explore the causes,the treatment of long-term complications with the permanent cardiac pacemaker implantation.Methods: The records of 280 patienrs with pacemakers implantation were reviewed,long-term pacemaker complications of the patients were analyzed.Results: There were 17 patients(6.07%) who developed the long-term pacemaker complications.13 cases(6.34%) over 60 years old,4 cases(5.33%) under 60 years old,there was no statistical difference in the overall rate of complications between patients aged above 60 years old(P>0.05);6 cases(2.14%) of vein thrombosis,4 cases(1.43%) of pacemaker lead thrombosis.3 cases(1.07%) of electrode dislocation,2 cases(0.71%) of pocker ulcerated and infection,1 cases(0.36%) of pacemaker syndrome and 1 cases(0.36%) of pacemaker threshold increased significantly to a pacemaker bad.Conclusions: There is an increasing trend in the rate of vein thrombosis,electrode dislocation,pocker ulcerated and infection.Should attach importance to the pacemaker implantation preparation,intraoperative emphasizes the specification of aseptic operation,strengthening postoperative follow-up,as well as the early discovery and treatment of complications could reduce the risk of complications so as to avoid the serious consequences.