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我院自1975年以来,体内埋藏长久性起搏器治疗6例危重病例,其中1例已存活六年半,并能一直从事一般劳动,收到较好的效果。本组6例,均有心脑综合征发作史,其中除1例病窦综合征外,其余5例皆为完全性房室传导阻滞。其病因除心肌炎后遗症和心肌病各1例外,其余4例为冠心病。心室率分别为28、34、37、38、39及40次/分。起搏指征为心脑综合征,且经药物治疗无效的病例。6例都是应用单极心内膜导管电极,选用右侧颈外静脉切口,导管电极送至右心室尖部肌小梁内作为固定位置。所用单极导管有两种类型,其中有3例应用聚乙烯导管钢丝螺旋形单极圆柱状钝头电极,另3例应用硅橡胶钢丝
Since 1975, our hospital has buried 6 long-term pacemakers in the body to treat 6 critically ill patients, of which 1 patient has survived six and a half years and has been working in general and has received good results. The group of 6 patients, all have a history of heart and brain syndrome attack, in which 1 case of sick sinus syndrome, the remaining 5 cases are complete atrioventricular block. The etiology in addition to myocarditis sequelae and cardiomyopathy in 1 case, the remaining 4 cases of coronary heart disease. Ventricular rates were 28, 34, 37, 38, 39 and 40 beats / min. Pacing indications for the heart and brain syndrome, and ineffective medical treatment of cases. 6 cases were applied monopolar endodermal catheter electrode, the right side of the external jugular vein incision was selected, the catheter electrode to the right ventricular trabecular bone as a fixed position. There are two types of unipolar catheters used, of which three are polyethylene catheter wire spiral monopolar cylindrical blunt electrodes and the other three are silicone rubber