Res J C J, de Priester J A, van Lier A A, van Engelen C L J M, Bronzwaer P N A, Tan P-H, Visser M
Neth Heart J. 2004 Mar;12(3):101-105.
Pneumothorax is a mild complication during pacemaker lead implantation using the subclavian puncture technique. We report on five-year experience in 433 pacemaker lead implantation procedures in 379 patients. The cephalic vein route was solely used in twelve patients. Three procedures were performed over time in four patients and one patient needed four repetitive punctures for pacemaker lead implantation and replacement. Thus 421 punctures were carried out in 367 patients. Eleven case of pneumothorax were observed: in eight patients (1.9%) a partial pneumothorax occurred and in three patients (0.7%) the pneumothorax was nearly complete. In the latter patients a chest tube was inserted and hospital admission was prolonged for 3, 6 and 6 days, respectively. Old age with a corresponding abnormality in the form of chest deformation were predominantly found in the patients with this type of complication.
气胸是采用锁骨下穿刺技术植入起搏器导线过程中的一种轻微并发症。我们报告了379例患者433次起搏器导线植入手术的五年经验。仅12例患者采用头静脉途径。4例患者分3次进行手术，1例患者在植入和更换起搏器导线时需要重复穿刺4次。因此，367例患者共进行了421次穿刺。观察到11例气胸：8例患者（1.9%）发生部分气胸，3例患者（0.7%）气胸几乎完全形成。后3例患者均插入了胸管，住院时间分别延长了3天、6天和6天。这种并发症患者主要为老年患者，伴有胸部变形等相应异常情况。
