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男性,61岁,1987年10月2日因冠心病、阵发性心房颤动、慢—快综合征入院。住院期间心电监护多次出现窦性停搏(长达3秒)。1988年1月8日于右侧头静脉径路安置起搏器。插入起搏导管时,导管在右锁骨外1/3处折向颈部,多次抽插导管,走向均相同。达颈部后因受阻无法继续进入。遂抽出引导钢丝并继续推送导管,见导管头从颈部于锁骨中点处附近折向下达右房,然后再插入引导钢丝,使导管头定位于右室心尖处。术后随访2年,起搏器工作正常。
Male, 61 years old, October 2, 1987 due to coronary heart disease, paroxysmal atrial fibrillation, slow - fast syndrome admitted to hospital. Cardiac sinus surgery during hospitalization many times appear sinus arrest (up to 3 seconds). January 8, 1988 in the right side of the cephalic vein pacemaker placement. Into the pacing catheter, the catheter in the right clavicle 1/3 off to the neck, multiple catheter insertion, to the same direction. Up to the neck due to obstruction can not continue to enter. Then pull the guide wire and continue to push the catheter, see the catheter from the neck near the midpoint of the collarbone fold down to the right atrium, and then insert the guide wire, the catheter head positioned at the apex of the right ventricle. After 2 years of follow-up, the pacemaker is working normally.