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1987年开始作者利用国产塑料自制静脉扩张管的外套管,采用经皮锁骨下静脉穿刺法,为7例患者安装了人工心脏起搏器(临时起搏器1例,永久起搏器6例)。年龄最小14岁,最大者73岁。均获得成功,且未发现任何并发症。现将操作过程及几点体会简述如下。一、自制外套管利用国产塑料管自制静脉扩张管的外套管。取内腔刚好能通过永久起搏电极导管头部及能插入7F静脉扩张管的塑料管(要求壁较薄相对较硬)。其长度以静脉扩张管头部能外露2～3cm为宜,约12
In 1987, the author used the outer cannula of homemade domestic-made venous dilatation tube and installed percutaneous subclavian vein puncture to install artificial pacemaker (1 temporary pacemaker and 6 permanent pacemakers) for 7 patients. . The youngest 14 years old, the largest is 73 years old. All were successful and did not find any complications. Now the operation process and a few experiences are as follows. First, the use of homemade homemade outer tube made of plastic tube dilatation of the outer tube. Take the lumen just past the permanent pacing catheter tip and a plastic tube that can be inserted into a 7F venous dilator (requiring a relatively thin walled wall). The length of the venous dilatation of the head can be exposed 2 ~ 3cm is appropriate, about 12