Ellis G L
University of Pittsburgh School of Medicine, Department of Emergency Medicine, Western Pennsylvania Hospital, PA 15224.
Am J Emerg Med. 1990 Jan;8(1):48-50. doi: 10.1016/0735-6757(90)90296-c.
A patient with a dual-chamber pacemaker presented with rhythmic contractions of her right hemidiaphragm. The atrial lead of her pacemaker had retracted into the right subclavian vein, causing pacing of the right phrenic nerve. The cause of the lead displacement is unknown, but may have resulted from unintentional manipulation of the pacemaker generator pouch by the patient, the so-called Pacemaker Twiddler's Syndrome.
一名双腔起搏器患者出现右半膈肌节律性收缩。其起搏器的心房电极回缩至右锁骨下静脉,导致右膈神经起搏。电极移位的原因不明,但可能是患者无意中对起搏器发生器囊袋进行了操作,即所谓的起搏器摆弄者综合征。