安装临时心脏起搏器的腹腔镜胆囊切除术

Application of temporary cardiac pacemaker in perioperative period of laparoscopic cholecystectomy

目的探讨伴随心律失常的患者安装临时心脏起搏器后行腹腔镜胆囊切除术(LC)的安全性。方法回顾我科7例安装临时心脏起搏器后行LC的临床资料,并进行分析。结果全部患者均成功实施LC,围手术期未发生与心脏及放置起搏器有关的并发症,术后恢复顺利。结论心律失常的患者围手术期安置临时心脏起搏器,术前对麻醉与手术风险做出正确评估,行LC是可行、安全的。

Objective To evaluate the safety of laparoscopic cholecystectomy（LC） under the use of temporary cardiac pacemaker for the patients with cardiac arrhythmia.Methods The clinical data of 7 cases undergoing LC under the use of temporary cardiac pacemaker were analysed.Results All the 7 cases undergoing LC by temporary 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 temporary cardiac pacemaker,if the anaesthesia and operation are estimated correctly.