Watkins L, Mower M M, Reid P R, Platia E V, Griffith L S, Mirowski M
Pacing Clin Electrophysiol. 1984 Nov;7(6 Pt 2):1357-62. doi: 10.1111/j.1540-8159.1984.tb05708.x.
Since February 1980, the automatic defibrillator was implanted in 77 survivors of multiple cardiac arrest. The subxiphoid technique was used in 28 patients and the thoracotomy technique was used in 20 patients with previous cardiac surgery. Median sternotomy was used in 29 patients undergoing open heart procedures as well as defibrillator implantation. While the subxiphoid is the most benign procedure employed, all are safe and well tolerated. The method used is determined by the clinical picture. Survival studies indicate improved survival in this high risk population.
自1980年2月以来，77名多次心脏骤停幸存者植入了自动除颤器。28例患者采用剑突下技术，20例曾接受心脏手术的患者采用开胸技术。29例接受心脏直视手术及除颤器植入的患者采用正中胸骨切开术。虽然剑突下技术是采用的最温和的手术方式，但所有手术方式都是安全的，且耐受性良好。所采用的方法由临床情况决定。生存研究表明，这一高危人群的生存率有所提高。
