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由于被遗弃的无盖心脏起器导致直肠肌肉抽的罕见病例导致了心脏起器
Issa Al-Khdour1, Amro AlAqra1, Moath Nairat1
1Cardiac Surgery, An-Najah National University Hospital, Nablus, PSE.
Cureus
|January 1, 2024
概括
在心脏起器更换后持续15年的持续腹部抽最终被诊断为直肠肌刺激,这是由暴露的旧心脏起器引发的,而不是隔膜节奏.
科学领域:
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
- 神经肌肉医学 神经肌肉医学
背景情况:
- 额外心脏刺激是心脏起器植入后的罕见并发症.
- 持续的腹部抽是一种不寻常的症状,可以模仿腹膜节奏.
研究的目的:
- 报告一个在心脏起器更换后长时间腹部抽的独特案例.
- 为了调查持续的心脏外刺激的病因.
- 强调在心脏起器并发症中考虑完整性的重要性.
主要方法:
- 一个42岁的男性患者的病例报告,他15年来一直有腹部抽的病史.
- 审查之前不成功的替代试验.
- 诊断调查包括成像和电生理学评估.
- 手术探索和回收. 手术探索和回收.
主要成果:
- 腹部抽最初被错误地归因于来自新起器的腹膜节奏.
- 经过多次内心检查,症状并没有得到解决.
- 一个暴露的旧起器被确定为直肠肌肉激发的原因.
结论:
- 暴露的起器线可以导致持续的,非典型的心脏外刺激.
- 长时间的症状需要彻底的调查,超越最初的假设.
- 识别和删除冒犯的线索对于症状解决至关重要.
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