摘要
目的 探讨合并严重心律失常的胆石症病人安装心脏起搏器后行腹腔镜胆囊切除术 (LC)的安全性。方法 对我科 8例安装vvI型心脏起搏器后施行LC的临床资料进行分析。结果 全部病人在vvI维持下成功实施LC ,围手术期未发生与心脏及放置起搏器有关的并发症。术后经过顺利。结论 只要术前排除心功能不全 ,并对麻醉与手术风险做出正确评估 ,安装心脏起搏器后可安全实施LC。
Objective To investigate the safety of laparoscopic cholecystectomy(LC) under the use of cardiac pacemaker for the patients with cholelithiasis and serious cardiac arrhythmia.Methods The clinical data of 8 cases undergoing LC under the use of vvI cardiac pacemaker were analysed.Results All the 8 cases undergoing LC by cardiac pacemaker had successful results. There was no cardiac accident or complication of the pacemaker in perioperative period in this series, and the postoperative course was smooth . Conclusions LC is safe under the use of cardiac pacemaker, if the decompensation of heart is controlled and the anaesthesia and operation are estimated correctly.
出处
《中国普通外科杂志》
CAS
CSCD
2002年第2期74-75,共2页
China Journal of General Surgery
