摘要
目的分析国内室间隔缺损患者介入封堵术后三度房室阻滞的发生特点和原因。方法通过中国生物医学文献数据库和清华同方医学期刊数据库文献检索系统，以“室间隔缺损”和“传导”为任意字段进行检索，在纳入的文献中，重点对患者年龄、性别、术后三度房室阻滞的发生时间、恢复时间、处理措施等进行总结分析。结果总计纳入23篇文献，共报道了73例术后出现三度房室阻滞的患者，女性和儿童多见。88％的三度房室阻滞发生于术后3～7d。80％的病例均在症状出现后的7—15d恢复窦性心律。有3例患者植入了永久起搏器。结论室间隔缺损介入术后的三度房室阻滞有其发生发展的规律，多数为一过性，需植入永久性起搏器的患者极少。
Objective To observe clinical characteristics of third-degree atrioventricular block （AVB m ） after transcatheter closure of ventricular septal defect in China. Methods All the data were collected from the Chinese Bio-Medical Data-base and the Chinese Journal Full-text Data-base. The search term （all fields） used was ＂ventricular septal defect and conduction＂. The major items included age, sex, size of ventricular septal defect and the features of postoperative AVB Ⅲ. Results Twenty-three articles were reviewed in which the emphasis of analysis was conduction disorders after transcatheter closure of ventricular septal de- fect. There were 73 cases of postoperative AVB HI of the total 73 patients, most of them were women and children. In 88% of patients the AVB Ⅲ occurred in the first 3 ~ 7 day after surgery. AVB Ⅲ reversed during the 7 - 15 day after the onset of it in 80% of patients. Three patients required permanent pacemaker implantation due to irreversible AVB Ⅲ. Conclusion Postoperative AVB Ⅲ was transient in most of cases. The requirement of permanent pacemaker implantation after closure is a rare but serious complication.
出处
《中华心律失常学杂志》
2009年第5期361-363,共3页
Chinese Journal of Cardiac Arrhythmias
关键词
室间隔缺损
介入
三度房室阻滞
Ventricular septal defect
Transcatheter
Third-degree atrioventricular block
