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[经尿道手术期间对起搏器患者的潜在危险。临床与实验研究]

[Potential danger to pacemaker patients during transurethral operations. Clinical and experimental studies].

作者信息

Zink R A, Staehler G, Laubenthal A, Markewitz A

出版信息

Urologe A. 1985 Jul;24(4):175-9.

PMID:4041085
Abstract

The high sensitivity of modern demand pacemakers to HF-currents, as used for the TUR, could be shown by an in vitro model, animal experiments and clinical investigations. It was possible to characterise the type specific HF-sensitivity by means of individual functions. Furthermore, it could be proven that almost every external HF-signal could be blocked by switching the demand pacemaker to its fixed magnet frequency, a most important procedure in order to maintain patient safety during a transurethral resection.

摘要

现代按需起搏器对用于经尿道切除术(TUR)的高频电流具有高敏感性,这已通过体外模型、动物实验和临床研究得到证实。通过个体功能可以表征特定类型的高频敏感性。此外,可以证明,将按需起搏器切换到其固定磁频率几乎可以阻断每一个外部高频信号,这是在经尿道切除术中维持患者安全的一项最重要的操作。

相似文献

1
[Potential danger to pacemaker patients during transurethral operations. Clinical and experimental studies].[经尿道手术期间对起搏器患者的潜在危险。临床与实验研究]
Urologe A. 1985 Jul;24(4):175-9.
2
[Clinical experiences and experimental studies of false sensing with demand pacemakers (author's transl)].按需型起搏器误感知的临床经验与实验研究(作者译)
Jpn Circ J. 1977 Apr;41(4):413-4, 429-34.
3
Safety precautions in the management of patients with pacemakers when electrocautery operations are performed.
Surg Gynecol Obstet. 1988 Oct;167(4):311-4.
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Deactivation of a demand pacemaker by transurethral electrocautery.经尿道电切术致按需型起搏器失活
N Engl J Med. 1969 Jan 2;280(1):34-5. doi: 10.1056/NEJM196901022800108.
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[Does electromagnetic interference not occur to a bipolar pacemaker during TUR-P?].
Masui. 2004 Jan;53(1):44-7.
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[Use of high-frequency current in endoscopy in patients with cardiac pacemakers].[心脏起搏器患者内镜检查中高频电流的应用]
Z Gastroenterol. 1994 Aug;32(8):479-82.
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Effect of coagulating and cutting current on a demand pacemaker during transurethral resection of the prostate. A case report.经尿道前列腺切除术期间凝固和切割电流对按需起搏器的影响。病例报告。
Can Anaesth Soc J. 1978 Jan;25(1):65-6. doi: 10.1007/BF03006788.
8
[Complications of total AV-block with torsade de pointes ventricular tachycardia during pacemaker implantation].
Orv Hetil. 1984 Jan 8;125(2):89-91.
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Pacemakers and intraoperative cardiac interactions: implications for surgeons.起搏器与术中心脏相互作用:对外科医生的启示
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[Transurethral resection in patients with cardiac pacemakers (author's transl)].
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引用本文的文献

1
[High frequency surgery in patients with cardiac pacemakers].[心脏起搏器患者的高频手术]
Langenbecks Arch Chir. 1991;376(1):59-63. doi: 10.1007/BF00205129.