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[起搏器植入患者的外科手术干预]

[Surgical interventions in patients with pacemakers].

作者信息

Reilich H, Ehlers P N

出版信息

Chirurg. 1977 Sep;48(9):599-603.

PMID:908240
Abstract

The increasing rate of pacemaker patient operations is due to the rising number of pacemaker carriers. Preoperative recognition of cardiac dysrhythmia is frequent, so that pacemaker implantation prior to operation is essential for the achievement of the operability. The corresponding control of pacemaker function and the appropriate checking of security precautions permit feasible preoperative preparations as well as operations similar to those in non-pacemaker carriers. Our observations are in agreement with others in the literature that a pacemaker does not increase the operation risk. On the contrary, it often makes operability achievable. A continuous and safe patient control through the new ECG-apparatus is possible, even with use of high frequency surgical instruments.

摘要

起搏器植入患者手术率的上升是由于起搏器携带者数量的增加。术前频繁识别心律失常,因此术前植入起搏器对于实现可操作性至关重要。起搏器功能的相应控制和安全预防措施的适当检查允许进行可行的术前准备以及与非起搏器携带者类似的手术。我们的观察结果与文献中的其他观察结果一致,即起搏器不会增加手术风险。相反,它常常使可操作性得以实现。即使使用高频手术器械,通过新型心电图设备也可以对患者进行持续且安全的监测。

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