起搏器引起的上腔静脉综合征(Pacemaker-induced superior vena cava syndrome)是经静脉心脏起搏的一种少见而严重的并发症。据查阅的文献迄今报道约40例。应引起心脏病学家的高度重视。本文就其发生率、发生机理和危险因素及治疗简要综述如下。发生率起搏器引起的上腔静脉综合征的确切发生率目前尚不十分清楚。最近Goudevenos等总结他们10年期间首次埋藏心脏起搏器3100例,发生上腔静脉综合征1例,另外收治其它医院转入的起搏器引起的上腔静脉综合征3例。Chamorro等为1000例病人埋藏了心脏起搏器,其中4例由于血栓形成引起上腔静脉综合征,其它大系列研究报道未发生上腔静脉综 Pacemaker-induced superior vena cava syndrome is a rare and serious complication of intravenous cardiac pacing. According to the literature so far reported about 40 cases. Should cause great attention of cardiologists. This article on its incidence, mechanism and risk factors and treatment are briefly summarized below. The incidence of pacemaker caused by the exact incidence of superior vena cava syndrome is not yet clear. Recently, Goudevenos et al summarized the first time they buried 3,100 cardiac pacemakers in 10 years, one case of superior vena cava syndrome and another 3 cases of superior vena cava syndrome caused by pacemakers transferred to other hospitals. Chamorro and others buried pacemakers in 1,000 patients, 4 of which caused superior vena cava syndrome due to thrombosis. Other large series of studies reported no superior vena cava syndrome