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心包填塞和外周静脉破裂出血致胸腔积血是心脏起搏器植入术中以及术后少见的并发症,特别是在在老年人生理病理性改变的情况下,临床上没有及时做出准确的病因诊断时,即使及时抢救,也容易导致病人突然死亡。所以,熟悉老年患者生理病理性的改变以及在床前随时做X线检查以及超声心动图检测,是及时明确病因、有效减少起搏器安装术后并发症的有效途径。现将近年来在法医实践中偶见的两例因安装心脏起搏器引起患者死亡的病理改变进行分析,为更好预防起搏器安装术并发症的发生提供线索。
Pericardial tamponade and peripheral venous rupture hemorrhage caused by pleural hemorrhage is a rare complication of cardiac pacemaker implantation and postoperative, especially in the case of physiological and pathological changes in the elderly, the clinical did not make accurate Etiological diagnosis, even if the timely rescue, but also easily lead to sudden death of patients. Therefore, familiar with the elderly patients with pathophysiological changes as well as in the bed at any time to do X-ray examination and echocardiography testing, is a clear cause in time to effectively reduce the pacemaker installation of postoperative complications an effective way. Now in recent years in the forensic practice occasionally two cases due to the installation of pacemakers caused by the death of patients with pathological changes in order to better prevent complications of pacemaker installation provides clues.