心脏起搏器在腹腔镜胆囊切除术中的临床应用215例  

Application of cardiac pacemaker in laparoscopic cholecystectomy--an analysis of 215 cases

作　　者：孙登群[1] 龚仁华[1] 孙艳军[1] 操斌全 田国礼[3] 钟兴国[1] 何新苗[1] 蔡军[1] 范育林[1] 曹葆强[1] 姜世涛[1] 但震宇[1] 李凯琅[1] 

机构地区：[1]武警安徽总队医院普外科,合肥230041 [2]武警安徽总队医院心脏内科,合肥230041 [3]武警安徽总队医院麻醉科,合肥230041

出　　处：《中华消化内镜杂志》2012年第11期628-630,共3页Chinese Journal of Digestive Endoscopy

基　　金：基金项目：安徽省自然科学基金项目（1208085MHl81）

摘　　要：目的评价腹腔镜胆囊切除术电刀对于永久心脏起搏器及临时起搏器的影响，以及心脏起搏器在胆囊结石合并缓慢心律失常患者接受腹腔镜胆囊切除术术中的应用价值。方法选择215例胆囊结石合并安装永久起搏器或临时起搏器患者，监测术前术后起搏功能的变化，以及术中腹腔镜电凝对于起搏器功能的影响。结果215例患者均顺利完成手术。术中患者起搏器功能未受影响，术前术后患者起搏器参数未见明显变化。结论腹腔镜胆囊切除术电刀电凝对于心脏永久及临时起搏器影响较小；对于胆囊结石合并缓慢心律失常患者接受腹腔镜胆囊切除手术，术前安装永久或临时心脏起搏器是避免术中心脏停搏风险的有效方法。Objective To evaluate the influence of electrotome on permanent and temporary cardiac pacemaker in laparoscopie choleeystectomy （LC）, and the application of cardiac pacemaker to the cases of cholecystolithiasis combined with bradyarrhythmia. Methods Clinical data of 215 patients with permanent or temporary cardiac pacemaker who underwent were studied for the preoperative and postoperative variation of pacemaker function, and for the influence of electricity coagulation during the operation on cardiac pacemaker function. Results LC was successfully completed in all 215 patients. The function of cardiac pacemaker was not obviously interfered during the operation, and the parameters of cardiac pacemaker did not remarkably change after the operation. Conclusion Cardiac pacemaker is slightly interfered when electrotome and eleetrocoagulation were used in LC; LC is feasible and safe for patients with bradyarrhythmia by placement of cardiac nacemaker.

关 键 词：起搏器 腹腔镜胆囊切除术 缓慢心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]