Objective:To evaluate the safety and feasibility of cardiac pacemaker combined with ultrasonic scalpel in laparoscopic cholecystectomy( LC) in patients with gallbladder calculi complicated with arrhythmia. Methods:The clinical data of 59 LC patients treated with cardiac pacemaker combined with LC were retrospectively analyzed. Results:All operations of 59 cases were successful. The drop of heart rhythm and blood pressure in one patient was found during placing pacemaker,and the patient recovered after treatment. The postoperative celialgia,icterus,palpitation and chest distress were not found in all patients,all patients cured. Conclusions:The placing cardiac pacemaker before LC in patient with gallbladder calculi complicated with arrhythmia can effectively protect the cardiac function,and reduce,time and complications of the LC.%目的:探讨胆囊结石合并心律失常患者,安置心脏起搏器联合超声刀行腹腔镜胆囊切除术(LC)的安全性及注意事项.方法:对安置心脏起搏器联合超声刀行LC的59例患者的临床资料进行分析.结果:59例患者均成功完成LC.其中,1例安置临时起搏器的患者术中突然出现心率和血压下降,经及时有效的处理后心率很快恢复正常,并顺利完成手术.所有患者术后均未出现腹痛、黄疸、心慌、胸闷等并发症,痊愈出院.结论:胆囊结石合并心律失常患者LC术前安置心脏起搏器,可有效地保护心脏功能,手术时间短,并发症少.
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