Gombotz H, Anelli Monti M, Leitgeb N, Nürnberg M, Strohmer B
Abteilung für Anästhesiologie und Intensivmedizin, Allgemeines Krankenhaus, Krankenhausstr. 9, 4020 Linz, Osterreich.
Anaesthesist. 2009 May;58(5):485-98. doi: 10.1007/s00101-009-1553-9.
The perioperative risk for patients with pacemakers or implanted cardioverter/defibrillators (ICD) is mainly dependent on the underlying disease. However, severe to life-threatening complications of the implanted system can occur due to electromagnetic interference in the environment of the operation. These complications can be prevented or adequately treated by taking special precautions and measures. Even though the currently available data on the optimal perioperative management to pacemakers and ICDs is still unsatisfactory, the increasing clinical relevance of this topic was the reason for the formulation of recommendations by an interdisciplinary working group in Austria.
植入起搏器或植入式心脏复律除颤器（ICD）的患者围手术期风险主要取决于基础疾病。然而，由于手术环境中的电磁干扰，植入系统可能会出现严重至危及生命的并发症。通过采取特殊的预防措施和手段，可以预防或妥善处理这些并发症。尽管目前关于起搏器和ICD最佳围手术期管理的可用数据仍不尽人意，但该主题日益增加的临床相关性促使奥地利一个跨学科工作组制定了相关建议。
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