儿童永久性心脏起搏器：技术考量

Permanent cardiac pacemakers in children: technical considerations.

作者信息

Donahoo J S, Haller J A, Zonnebelt S, Neill C, Gott V L, Brawley R K

出版信息

Ann Thorac Surg. 1976 Dec;22(6):584-7. doi: 10.1016/s0003-4975(10)64477-3.

Abstract

Placement of permanent cardiac pacemakers in children presents technical problems that are not encountered in the adult. Problems unique to pacemaker implantation in children are related to the patient's size, the relative bulkiness of pulse generators, the lack of subcutaneous tissue, and the child's growth and long life expectancy. Based on our experience with implantation of 27 permanent cardiac pacemakers in 13 children, we have found that the use of small pulse generators, placement of epicardial leads, insertion of properitoneal pulse generators, and use of recharabeable pacemakers are satisfactory methods in children.

摘要

儿童永久性心脏起搏器的植入存在一些成人不会遇到的技术问题。儿童起搏器植入特有的问题与患者体型、脉冲发生器相对体积较大、皮下组织缺乏以及儿童生长和预期寿命长有关。根据我们对13名儿童植入27个永久性心脏起搏器的经验，我们发现使用小型脉冲发生器、心外膜导线植入、腹膜后脉冲发生器植入以及使用可充电起搏器是儿童的满意方法。