Brown K R, Carter W, Lombardi G E
Department of Ambulatory Care, Bronx Municipal Hospital Center, New York 10461.
Ann Emerg Med. 1991 Aug;20(8):905-7. doi: 10.1016/s0196-0644(05)81436-2.
A 54-year-old man with an artificial pacemaker sustained blunt trauma to his chest when he was struck with a baseball bat. Within 15 minutes after the injury, the patient experienced cardiovascular collapse. His pacemaker failed, and he required insertion of a temporary transvenous pacemaker. At surgery, the defect was traced to failure of the pulse generator, a rare cause of pacemaker failure. Emergency department evaluation should include prompt and continuous ECG monitoring, an overpenetrated chest radiograph, and telemetry evaluation after discharge.
一名54岁安装有人工起搏器的男子被棒球棒击中胸部，受到钝器伤。受伤后15分钟内，患者出现心血管衰竭。他的起搏器失灵，需要插入临时经静脉起搏器。手术中发现故障源于脉冲发生器失灵，这是起搏器故障的罕见原因。急诊科评估应包括及时且持续的心电图监测、穿透良好的胸部X光片以及出院后的遥测评估。
