中国实用儿科杂志

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儿童起搏器植入治疗进展及若干问题思考

  

  1. 上海交通大学医学院附属上海儿童医学中心心内科, 上海  200127
  • 出版日期:2021-05-06 发布日期:2021-06-09

Advances in the pediatric pacemaker implantation and reflections on some problems

  1. Department of Cardiology,Shanghai Children’s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai  200127,China
  • Online:2021-05-06 Published:2021-06-09

摘要: 儿童心脏起搏器植入总量并不多,但却面临诸多问题。现有指南及植入方案大都基于成人经验,并不完全适用于儿童患者。诸如左束支起搏、无导线起搏器植入等新型植入方式及装置的儿童适应证也有待进一步探索。考虑到儿童生长发育的特性以及未来可能面临的数次起搏器升级、更换等情况,对于儿童起搏器的植入方式、起搏器导线植入部位、术后并发症的防治都应进行个体化评估及综合考量,以提供最优化植入方案,为患儿争取长期获益并提高生存质量。

关键词: 儿童, 心脏起搏器, 预后, 并发症

Abstract: Although the cases of pediatric pacemaker implantation is rare,it faces many problems. Most of the current guidelines and implantation protocols are based on experience in adult patients,but they may not be applied to pediatrics. For example,the indications of left bundle branch pacing or leadless pacemaker used in pediatrics need to be further researched. The problems such as pacing ways,inserting ways and complications should be assessed individually and thought comprehensively considering the growth and development of children who will accept several pacemaker implantation in order to make a best implantation protocol,and provide long term benefit for the children and improve their quality of life.

Key words: child, pacemaker, prognosis, complication