论文部分内容阅读
全组153例,男82例,女71例。年龄33~84(平均58.3)岁。其中病态窦房结综合征67例。房室传导阻滞(包括Ⅱ度Ⅱ型房室传导阻滞及Ⅲ度房室传导阻滞)86例。全组共用起搏器214个,包括VVIR 2个;DDDR 1个;、DDD 2个;AAI 1个;其余均为VVI型起搏器(其中可编程者121个)。国产起搏器101个,进口起搏器113个。1986年前多采用国产起搏器,此后多采用进口起搏器。全组均采用经静脉起搏法。经头静脉插管118例次;经颈外静脉插管15例次;经锁骨下静脉插管40例次。安装起搏器后,全组病人原有症状消失或基本消失。经门诊随访或信访,存活126例,最长达14年。其中多数病人恢复原来工作,或改为轻工作,一般均可生活自理。死亡10例,其中5例死于心内原因(猝死2例,感
The whole group of 153 cases, 82 males and 71 females. Age 33 ~ 84 (average 58.3) years old. Including sick sinus syndrome in 67 cases. Atrioventricular block (including Ⅱ degree Ⅱ type atrioventricular block and Ⅲ degree atrioventricular block) in 86 cases. A total of 214 pacemakers were included in the group, including 2 VVIRs, 1 DDDR, 2 DDDs and 1 AAI. The rest were VVI pacemakers (of which 121 were programmable). 101 domestic pacemakers, imported 113 pacemakers. Before 1986, more use of domestic pacemaker, since more imported pacemaker. The whole group were used by intravenous pacing method. Intubation through the cephalic vein 118 cases; 15 cases of external jugular vein cannulation; 40 times through the subclavian vein catheterization. After installing the pacemaker, the original group of patients disappeared or disappeared. After outpatient visits or letters and visits, 126 cases survive up to 14 years. Most of these patients resume their original jobs or change their jobs to light jobs. Ten patients died, of which five died of cardiac causes (sudden death in two cases, feeling