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为了探讨植入起搏器患者经颈内静脉行血液透析置管的可行性,本研究回顾性分析2013年10月至2016年10月北京积水潭医院4例、文献复习8例植入起搏器患者经颈内静脉行血液透析置管的置管方法及并发症。结果显示,12例中合并导管感染需要去除导管和起搏器的6例(50.00%),中心静脉狭窄2例(16.67%),起搏器电极脱位1例(8.33%),其他病例无上述合并症。通过充分的术前准备、术中术后适当操作,植入起搏器患者经颈内静脉行血液透析置管并短期应用是安全可行的。
In order to investigate the feasibility of transplanted pacemakers via hemodialysis in the internal jugular vein, this study retrospectively analyzed 4 cases of Beijing Jishuitan Hospital from October 2013 to October 2016, and reviewed 8 cases of implanted pacemakers Patients through the internal jugular vein catheter hemodialysis catheterization and complications. Six patients (50.00%) with catheter and pacemaker removal, two cases with central venous stenosis (16.67%) and one with electrode dislocation of the pacemaker (8.33%) were required in 12 cases. In the other cases, Comorbidity. Adequate preoperative preparation, intraoperative and postoperative appropriate operation, implantation of pacemaker patients through the internal jugular vein hemodialysis catheter and short-term application is safe and feasible.