永久性人工心脏起搏器植入术后并发症的护理及健康指导

Attendance and health guidance of complications following permanent implantation of artificial pacemaker

摘要: 目的:探讨永久性人工心脏起搏器术后并发症发生的原因、处理方法、护理措施及健康指导。方法:对植入永久性人工心脏起搏器47例中7例有并发症患者进行原因分析,提出护理措施。结果:起搏器囊袋血肿2例,囊袋感染1例,气胸1例,肩手关节综合征1例,电极脱位1例,起搏器综合征1例。结论:加强对起搏器常见并发症的了解,重视术后观察护理及健康指导,可早期发现并积极处理各种并发症,提高临床治愈率和患者的生活质量。

Abstract: Objective: To explore the causes,management,nursing care and health guidance of complications following permanent implantation of the artificial heart pacemaker.Methods: Forty-seven patients were installed permanent artificial pacemakers and complications occurred in 7 of them.The causes of the complications were analyzed and proper nursing guidance was offered.Results: Pacemaker pocket hematoma was observed in 2 cases,pocket infection in 1 case,pneumothorax in 1 case,shoulder-hand joint syndrome in 1 case,electrode dislocation in 1 case and pacemaker syndrome in 1 case.Conclusions: Knowledge about the complications related to the pacemaker,postoperative observation and health guidance should be strengthened,which may help to early identification and management of the complication and improve the patient's quality of life.