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[脊髓刺激治疗顽固性心绞痛——病例描述]

[Spinal cord stimulation in refractory angina pectoris -- a case description].

作者信息

Sokal Paweł, Harat Marek, Rusicka-Piekarz Teresa

机构信息

Klinika Neurochirurgii, Wojskowy Szpital Kliniczny, ul. Powstańców Warszawy 5, 85-681 Bydgoszcz.

出版信息

Neurol Neurochir Pol. 2005 Sep-Oct;39(5):417-9.

Abstract

Spinal cord stimulation (SCS) is one of the methods for treating angina pectoris and has been used since 1985. Patients with refractory angina pectoris despite optimal medication and revascularisation procedures are suitable for the SCS. This kind of treatment is not common in Poland. This article reports the first case of a patient with ischaemic heart disease treated with spinal cord stimulation in the Clinical Department of Neurosurgery in the Military Clinical Hospital in Bydgoszcz. The procedure was based on epidural implantation of the electrode at the level of Th1-Th2 and connection with the impulse generator located subcutaneously. As a result of the applied stimulation reduction of the anginal pain was achieved.

摘要

脊髓刺激(SCS)是治疗心绞痛的方法之一,自1985年以来一直被使用。尽管接受了最佳药物治疗和血运重建手术,但仍患有顽固性心绞痛的患者适合接受脊髓刺激治疗。这种治疗在波兰并不常见。本文报道了在比得哥什军事临床医院神经外科临床科室首例接受脊髓刺激治疗的缺血性心脏病患者。该手术基于在胸1-胸2水平硬膜外植入电极并与皮下植入的脉冲发生器相连。通过施加刺激,实现了心绞痛疼痛的减轻。

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