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目的观察经胸大肌下囊袋植入埋藏式心脏转复除颤器(ICD)的临床效果。方法8例胸壁组织薄弱患者经胸大肌下囊袋植入ICD或心脏同步化治疗除颤器(CRT-D)。观察术后囊袋血肿、破溃及感染等并发症发生情况。结果 8例中,因囊袋内渗血较多放置引流装置3例,均于48h内拔除引流。所有患者手术切口均愈合良好,随访1~42个月未发现囊袋血肿、囊袋皮肤压迫性坏死、破溃或感染等情况。结论经胸大肌下囊袋植入ICD或CRT-D切实可行,可作为相对消瘦患者的合适选择。
Objective To observe the clinical effect of transabdominal subrethral pouch implantation of implantable cardioverter defibrillator (ICD). Methods Eight patients with thoracic wall weakness were implanted with ICD or cardiac synchronized defibrillator (CRT-D) through the submaxillary pouch. Observation of postoperative capsule hematoma, ulceration and infection and other complications. Results In 8 cases, drainage was performed in 3 cases due to bleeding in the capsular bag, all of which were drained and drained within 48 hours. Surgical incision in all patients healed well, did not find the hematoma of the pouch in 1 to 42 months follow-up, the skin necrosis of the pouch, ulceration or infection. Conclusion The transabdominal submandibular pouch implantation of ICD or CRT-D is feasible and can be used as a suitable choice for patients with relative wasting.