Abrams S, Peart I
Heart Clinic, Royal Liverpool Childrens' Hospital.
Br Heart J. 1995 Feb;73(2):190-2. doi: 10.1136/hrt.73.2.190.
Mechanical causes of pacemaker failure are well recognised. Twiddler's syndrome leading to pacemaker failure has been previously recognised in adults, but there have been no published reports of its occurring in children. Two cases leading to failure of the pacing system are reported. In the first twiddling led to fracture of the lead and in the second it led to displacement of the lead from the heart. Children may be more susceptible to twiddler's syndrome because they have thinner subcutaneous tissues, making leads more accessible, and their comprehension of the consequences may be poor.
起搏器故障的机械原因已广为人知。导致起搏器故障的旋弄综合征此前在成人中已有报道，但尚无在儿童中发生的公开报告。本文报告了两例导致起搏系统故障的病例。第一例中，旋弄导致导线断裂，第二例中，旋弄导致导线从心脏移位。儿童可能更容易患旋弄综合征，因为他们的皮下组织较薄，使导线更容易触及，而且他们对后果的理解可能较差。
