永久起搏器安置术后的动态起搏心电图分析 万继荣 方志松 李洁芳.docVIP

精品论文 参考文献 永久起搏器安置术后的动态起搏心电图分析 万继荣 方志松 李洁芳 万继荣 方志松 李洁芳（广州市番禺区何贤纪念医院功能科 广东广州 511400） 【摘要】目的 通过分析安置永久起搏器后的动态心电图，进而了解永久起搏器的相关起搏功能与可能引发功能障碍的原因，预防可能出现的心律失常等症状。方法　选取自2009年2月至2012年5月前往我院进行永久起搏器术后随访检查的患者120例，整理其心电图资料进行分析。结果　其中正常起搏107例，占89.2%，包括逆行室房传导、安全性起搏与起搏心律中手风琴现象以及室早后反应与不同程度融合波等；起搏功能发生障碍13例，占10.8%，主要表现为感知异常与起搏异常，如感知不良与感知过度，起搏器电池损耗殆尽与出现起搏功能异常等。有80例患者出现心律失常，主要表现为房性早搏与室性早搏、心房纤颤与短阵房性与室性心动过速等。结论　安置永久起搏器后，会使得病人的动态心电图变得复杂化，因此需要定期监测起搏器功能状态，还需不断更新关于新型起搏器的相关知识，这样才可以准确判断正常起搏与起搏障碍，避免因起搏器出现故障而对患者造成危害。 【关键词】永久起搏器 术后随访 起搏心电图分析 动态心电图 【中图分类号】R540.4+1【文献标识码】A【文章编号】2095-1752（2012）36-0111-02 Permanent pacemaker implantation after dynamic pacing ECG analysis W A N Ji Rong，F A N G zhi song，L I Jie Fang， 【Abstract】 Objective: through the analysis of dynamic electrocardiogram after placement of a permanent pacemaker, and then understand the the the permanent pacemaker pacing function may lead to dysfunction causes, prevention arrhythmia and other symptoms may occur. Methods: Go to our hospital from February 2009 to May 2012 after permanent pacemaker follow-up examination of 120 patients were finishing their ECG data analysis. Results: normal pacing the 107 cases, accounting for 89.2%, including the the accordion phenomenon of retrograde ventriculoatrial conduction, security pacing and pacing and ventricular early after reaction with varying degrees of fusion wave; pacing dysfunction in 13 cases, accounting for 10.8%, mainly for perceived anomalies and pacing abnormalities, such as perceived adverse oversensing pacemaker battery depletion exhausted pacemaker dysfunction appears. 80 patients with arrhythmia, mainly atrial premature beat and premature ventricular contractions, atrial fibrillation and paroxysmal atrial and ventricular tachycardia. Conclusion: The placement of a permanent pacemaker, will make the patient ambulatory electrocardiogram becomes complicated, thus the need for regular monitoring of pacemaker function status, the need to constantly