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[心脏电刺激后患者的并发症与生存率]

[Complications and survival of patients after electric cardiac stimulation].

作者信息

Korolev B A, Karov V V, Medynskiĭ E M, Filonenko G S, Kosonogov A Ia

出版信息

Vestn Khir Im I I Grek. 1990 May;144(5):15-20.

PMID:2175975
Abstract

In patients with bradyarrhythmia 1105 operations were performed. Among them 528 primary stimulations were fulfilled with 2.4% lethality, 289 changes of the generator, 122 temporary electric cardiac stimulation. Complications were observed in 15.5% of the patients. Medico-technical complications took place in 5.5%, arrhythmias++--in 52.9%, purulent complications in 5.3%. Long-term results were followed-up in 405 patients within the terms from 6 months til 15 years after operation. Five years survival took place in 64.2%, ten years--in 43%, 15 years--in 27.8%. Complications in remote periods were noted in 27.6% of patients. Great attention is given to timely performed operations and dispensary observation of the patients for the improvement of results of electrocardiostimulation.

摘要

对患有缓慢性心律失常的患者进行了1105例手术。其中528例进行了初次刺激,致死率为2.4%,289例进行了发生器更换,122例进行了临时心脏电刺激。15.5%的患者出现了并发症。医疗技术并发症发生率为5.5%,心律失常发生率为52.9%,化脓性并发症发生率为5.3%。对405例患者在术后6个月至15年期间进行了长期随访。5年生存率为64.2%,10年生存率为43%,15年生存率为27.8%。27.6%的患者在远期出现了并发症。为了提高心脏电刺激的效果,对及时进行手术和对患者进行门诊观察给予了高度重视。

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