21例永久性心脏起搏的非常见并发症(摘要)

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自1979年以来,我院共植入永久性起搏器21例,遇到了以下几种非常见的并发症。一、2例植入起搏器后突然血压下降,其中1例为扩张型心肌病伴三束支阻滞及心功能不全,在植入Edwards28型单极ⅤⅥ起搏器后,血压由术前130/90mmHg降至70mmHg处仅有微弱搏动,并伴有冷汗、四肢厥冷及口唇紫绀。经用多巴胺、地塞米松及毒毛旋花子甙K等处置后,血压逐渐回升, Since 1979, a total of 21 permanent pacemakers have been implanted in our hospital. The following rare complications were encountered. First, 2 cases of sudden reduction of blood pressure after implanted pacemakers, including 1 case of dilated cardiomyopathy with three bundle branch block and cardiac insufficiency, after implantation of Edwards28 unipolar Ⅴ Pacemaker, the blood pressure from preoperative 130 / 90mmHg down to 70mmHg only weak beats, and accompanied by cold sweat, extremities Jue Leng and cyanosis of the lips. After treatment with dopamine, dexamethasone and venom K, the blood pressure gradually rose,
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