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1989年至1993年共植入AAI起搏器42例,术后当天有4例(9.5%)发生胃肠功能紊乱,经对症处理不能使患者症状缓解。例1于术后5d电极脱位,重新手术。余3例均经体外程控降低起搏参数后1~3h,症状明显减轻或消失。提示胃肠道功能紊乱与AAI起搏有关。文章对其发生原因和机理进行了简要讨论。
A total of 42 AAI pacemakers were implanted between 1989 and 1993. Four (9.5%) patients had gastrointestinal disorders on the day after surgery. Symptomatic treatment failed to alleviate the symptoms. Example 1 electrode dislocation 5d after surgery, reoperation. The remaining 3 cases were reduced by program control after pacing 1 ~ 3h, the symptoms were significantly reduced or disappeared. Tip gastrointestinal disorders and AAI pacing related. The article briefly discusses its causes and mechanisms.