论文部分内容阅读
随着我国心脏起搏器逐步推广应用,越来越多的病人需要更换起搏器和/或电极,现就这方面常遇到的一些问题提出讨论,供参考。一、术前准备术前常规:①了解埋藏起搏器的型号、植入年月以及目前的功能情况;②了解病人原有心律失常的类型以及术前有无晕厥史;③作胸壁刺激试验以观察病人自身心律并判断其对心脏起搏器的依赖性。有关对起搏器依赖性的分类,目前国内外尚无统一的意见。我们的分级法如下。Ⅰ级(重度依赖) 起搏器被抑制后,6s内没有
With the gradual popularization and application of pacemakers in our country, more and more patients need to replace pacemakers and / or electrodes. Discussions are now made on some frequently encountered problems in this respect for reference. First, the preoperative preoperative routine: ① understanding buried pacemaker model, implantation years and the current functional situation; ② understand the type of patients with arrhythmia and preoperative syncope or not; ③ chest wall stimulation test To observe the patient’s own heart rate and to determine its dependence on pacemakers. For the classification of pacemaker dependence, there is no unified opinion at home and abroad. Our classification is as follows. Class Ⅰ (severe dependence) pacemaker was suppressed, 6s did not