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埋藏人工心脏起搏器的方法,以往采取锁骨下静脉穿刺法,近年来改用直视下头静脉插管法,此法简便,比较安全。在喙突下作一切口,可暴露头静脉。我院1983年4月～1986年1月采用头静脉安置法18例报告如下。临床资料本组18例,男6例,女12例,年龄19～74岁(51.7±14.5),其中冠心病7例,心肌炎7例,心肌病1例,病因不明3例。全组心律失常类型为:Ⅲ°房室传导阻滞6例,Ⅱ°-Ⅱ型及/或高度房室传导阻滞6例,双结病变1例,病态窦房结综合征5例。
The method of burying artificial cardiac pacemaker, in the past to take the subclavian vein puncture method, in recent years switched to the head vein catheterization method, this method is simple, more secure. Make a cut in the coracoid to expose the head vein. Our hospital April 1983 ~ January 1986 head vein placement 18 cases are reported as follows. Clinical data The group of 18 patients, 6 males and 12 females, aged 19 to 74 years old (51.7 ± 14.5), of which 7 cases of coronary heart disease, myocarditis in 7 cases, 1 case of cardiomyopathy, etiology in 3 cases. The group of arrhythmia types: Ⅲ ° atrioventricular block in 6 cases, Ⅱ ° -Ⅱ and / or atrioventricular block in 6 cases, double junction lesions in 1 case, sick sinus syndrome in 5 cases.