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复发性心包积液：心外膜起搏器植入的一种罕见并发症。

Recurrent pericardial effusion: an unusual complication of epicardial pacemaker placement.

作者信息

Bass J

出版信息

J Natl Med Assoc. 1984 Mar;76(3):283-5, 289.

PMID:6716503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2561637/
Abstract

A pericardial effusion developed in a patient after placement of an epicardial pacemaker electrode. She was treated by a vigorous regimen combined with pericardiocentesis. The effusion reaccumulated relentlessly, ultimately requiring pericardiectomy for control. The finding of recalcitrant pericardial effusion complicating epicardial pacemaker placement merits consideration of early pericardiectomy.

摘要

一名患者在植入心外膜起搏器电极后出现心包积液。她接受了积极的治疗方案并结合心包穿刺术。积液持续无情地重新积聚，最终需要进行心包切除术来控制。顽固性心包积液并发心外膜起搏器植入这一发现值得考虑早期进行心包切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/ffdc410841d1/jnma00237-0075-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/e8589027b115/jnma00237-0074-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/7d6ea574ee70/jnma00237-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/ffdc410841d1/jnma00237-0075-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/e8589027b115/jnma00237-0074-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/7d6ea574ee70/jnma00237-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87da/2561637/ffdc410841d1/jnma00237-0075-b.jpg

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引用本文的文献

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Recurrent pericardial effusion and tamponade after epicardial pacemaker lead placement: a case report.心外膜起搏器导线置入术后复发性心包积液和心脏压塞：一例报告
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2
A rare case of epicardial left ventricular sutureless screw-in lead placement causing left anterior descending artery stenosis.1例罕见的心外膜左心室无缝合螺旋电极置入致左前降支狭窄病例。
HeartRhythm Case Rep. 2016 Apr 30;2(4):303-305. doi: 10.1016/j.hrcr.2016.03.001. eCollection 2016 Jul.

本文引用的文献

1
Unusual complications of epicardial pacemakers. Recurrent pericarditis, cardiac tamponade and pericardial constriction.心外膜起搏器的罕见并发症。复发性心包炎、心脏压塞和心包缩窄。
Am J Cardiol. 1980 May;45(5):1088-94. doi: 10.1016/0002-9149(80)90179-4.
2
Perforation of the right ventricle by electrode catheters: a review and report of nine cases.电极导管致右心室穿孔：九例病例回顾与报告
Ann Surg. 1968 Dec;168(6):1048-60. doi: 10.1097/00000658-196812000-00016.
3
Pericardial tamponade due to perforation with a permanent endocardial pacing catheter.
永久性心内膜起搏导管穿孔导致心包填塞
J Thorac Cardiovasc Surg. 1977 Jul;74(1):51-4.