完全性心脏传导阻滞患儿的起搏器治疗
Pacemaker therapy in children with complete heart block.
作者信息
Stanton R E, Lindesmith G G, Meyer B W
出版信息
Am J Dis Child. 1975 Apr;129(4):484-7. doi: 10.1001/archpedi.1975.02120410060017.
Permanent pacemaker therapy in children with complete heart block is necessary occasionally. Ten patients ranging in age from 8 months to 15 years were treated with an implanted P-wave, synchronous epicardial pacemaker. Indications for implantation were persisting postsurgical heart block, congestive failure, syncopal attacks, and arrhythmias. There were two deaths not attributed to pacemaker malfunction. The remaining eight children have been followed up for 38 to 108 months. There have been 27 pulse generator replacements. Twenty-three were for battery exhaustion, three for electromechanical failure, and one was due to arrhythmia. Rhythm disturbances have occurred on eight occasions. There have been no infections. It is concluded that the implanted P-wave synchronous pacemaker is an effective method of therapy when indicated for children with complete heart block.
对于患有完全性心脏传导阻滞的儿童，永久性起搏器治疗偶尔是必要的。10名年龄在8个月至15岁之间的患儿接受了植入式P波同步心外膜起搏器治疗。植入的指征为术后持续性心脏传导阻滞、充血性心力衰竭、晕厥发作和心律失常。有两例死亡与起搏器故障无关。其余8名儿童接受了38至108个月的随访。共进行了27次脉冲发生器更换。其中23次是因为电池耗尽，3次是由于机电故障，1次是由于心律失常。有8次出现节律紊乱。没有发生感染。结论是，对于有适应证的完全性心脏传导阻滞儿童，植入式P波同步起搏器是一种有效的治疗方法。
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