永久起搏器植入术后囊袋破溃自行拔除电极一例
Chinese Journal of Cardiac Pacing and Electrophysiology（2022）
Abstract
77岁,男性,因"发现起搏器囊袋变薄并破溃半月"入院,3年前患者因三度房室传导阻滞,经左侧锁骨下静脉安装永久起搏器;入院前3个月曾发生过急性脑梗死,治疗后好转.入院后给予抗感染、囊袋清创术及对症治疗.后患者突发躁狂,自行拔除起搏器电极置于体外,未出现严重并发症,病情稳定后经右侧锁骨下静脉再次安装永久起搏器.术后3月余再次发生囊袋感染,因房室传导阻滞改善,心率波动于40～50次/分,最终彻底移除起搏器.
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