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[两名使用脑深部电刺激装置的帕金森病患者的心脏手术]

[Cardiac Surgery in Two Patients with Parkinson's Disease who were Using Deep Brain Stimulation Devices].

作者信息

Horiuchi Kazutaka, Nakata Shunsuke, Komoda Satsuki, Yuasa Takeshi

机构信息

Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Japan.

出版信息

Kyobu Geka. 2015 Sep;68(10):841-4.

Abstract

For the treatment of Parkinson's disease, deep brain stimulation( DBS) devices are implanted for the control of motor symptoms including tremor. We performed cardiac surgery in 2 patients with Parkinson's disease who were using DBS devices. Coronary artery bypass was performed in one patient, and closure of ventricular septal perforation after acute myocardial infarction was performed in the other. There is a risk of injury and electromagnetic interference of DBS devices. No device failure or aggravation of Parkinson's symptom was observed in these cases. In many cases of cardiac surgery, various devices are concomitantly used, and the potential interference with the devices should be carefully examined in perioperative management.

摘要

对于帕金森病的治疗,需植入深部脑刺激(DBS)设备以控制包括震颤在内的运动症状。我们对2名使用DBS设备的帕金森病患者进行了心脏手术。其中1例患者接受了冠状动脉搭桥手术,另1例患者在急性心肌梗死后进行了室间隔穿孔封堵术。存在DBS设备损伤和电磁干扰的风险。在这些病例中未观察到设备故障或帕金森病症状加重。在许多心脏手术病例中,会同时使用各种设备,因此在围手术期管理中应仔细检查对这些设备的潜在干扰。

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