| 埋藏式起搏器的临床应用 |
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| 引用本文： | 伏静媛,牛列智,宁金民,叶青,滕青平,彭小兰.埋藏式起搏器的临床应用[J].甘肃医药,1997(6). |
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| 作者姓名： | 伏静媛 牛列智 宁金民 叶青 滕青平 彭小兰 |
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| 作者单位： | 兰州市第一人民医院心内科
(伏静媛，牛列智，宁金民，叶青，滕青平)，兰州市第一人民医院心内科(彭小兰) |
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| 摘 要： | 本组34例患者病窦(SSS)24例,房室传导阻滞(A-VB)9例,三束支阻滞1例。其中30例患者采用锁骨下静脉穿刺为插管途径,此法简便、快速、大大缩短手术时间。本组均为VVI型起搏,心输出量平均增加15.43％。并发症中导管脱位发生率2.94％(1/34),感染率5.88％(2/34),体循环栓塞率5.88％(2/34),囊袋出血发生率5.88％(2/34)。对术后满1年的30例患者作了生存率统计,示A-VB组的生存率较SSS组低,术前年龄大、有心衰者生存率降低。本组死亡4例(11.7％),其中2例死于心脏原因,均在术后;另2例死于心外原因。本组个别患者出现起搏器综合征,建议尽量安置AAI或DDD起搏器。
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| 关 键 词： | 埋藏式起搏器 锁骨下静脉穿刺 心输出量 体循环栓塞 囊袋出血 起搏综合征 |
Clinical use for 34 cases of harbour pacemaker. |
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| Authors: | Fu Jingyuan Niu Liezhi Ning Jinmin |
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| Institution: | Fu Jingyuan,Niu Liezhi,Ning Jinmin,et al. Department of cardiac internal medicine,The First Lanzhou Hospital. Lanzhou 730050 |
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| Abstract: | This team of 34 patients include 24 cases of SSS,9 cases of atrioventricular block,1 caseof third roadblock. There're 30 cases used cas ting vein under bone regard as method of plunging lead. This act is simple and fast. All of this team are type of VVI pacing, Cardiac output increases 15. 43% on an average. A-mong the complications,the lead departing is 1/34(2. 94%), infection is 2/34(5. 88%), thromboembolism of circulation is 2/34 (5. 88%), subcutaneous pouch bleeding is 2/34 (5. 88%),and dead is 4/34(11. 8%). One year survival rate after operation showed that A-VB group is lower than SSS group,and old patients with heart failure is lower than others. |
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| Keywords: | harbour pacemaker cuting vein under bone cardiac output thrombocmbolism of circulation subcutaneous pouch bleeding |
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