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[术前预防性心脏起搏器与高频电刀之间的有害干扰。病例报告]

[Harmful interference between preoperative prophylactic cardiac pacemaker and cutting diathermy. Case report].

作者信息

Protin F, Dodinot B, Lefèvre J C, Laxenaire M C

出版信息

Ann Anesthesiol Fr. 1979;20(2):127-30.

PMID:38707
Abstract

The authors report the case of a patient suffering the consequences of harmful preoperative between a prophylactic cardiac pacemaker system and cutting diathermy, resulting in irreversible ventricular fibrillation. After reviewing the different mechanisms responsible for this accident, they attribute the blame to a phenomenon of capture of electromagnetic currents with the pacemaker catheter playing the role of an aerial. They reconsider the indications for the use of prophylactic pacing and recall the safety precautions which must be respected at the time of simultaneous use of an external pacemaker and cutting diathermy.

摘要

作者报告了一例患者的病例,该患者因预防性心脏起搏器系统与高频电刀之间术前有害相互作用而产生后果,导致不可逆的心室颤动。在回顾了造成这起事故的不同机制后,他们将责任归咎于起搏器导管作为天线捕获电磁电流的现象。他们重新审视了预防性起搏的使用指征,并再次强调了在同时使用体外起搏器和高频电刀时必须遵守的安全预防措施。

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