A portable,economic drainage device to prevent pocket hematoma of pacemakers
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A portable,economic drainage device to prevent pocket hematoma of pacemakers
A portable,economic drainage device to prevent pocket hematoma of pacemakers
解放军医学杂志(英文版)2009年24卷第3期 页码:167-175
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中图分类号:R541.7
纸质出版:2009
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A portable,economic drainage device to prevent pocket hematoma of pacemakers[J]. 解放军医学杂志(英文版), 2009,24(3):167-175.
[1].A portable,economic drainage device to prevent pocket hematoma of pacemakers[J].Journal of Medical Colleges of PLA,2009,24(03):167-175.
A portable,economic drainage device to prevent pocket hematoma of pacemakers[J]. 解放军医学杂志(英文版), 2009,24(3):167-175.DOI:
[1].A portable,economic drainage device to prevent pocket hematoma of pacemakers[J].Journal of Medical Colleges of PLA,2009,24(03):167-175.DOI:
A portable,economic drainage device to prevent pocket hematoma of pacemakers
摘要
Abstract
Objective:To make up a portable
economic drainage device to prevent the development of pocket hematoma and avoid the additional therapies of pocket hematoma.Methods:Between 2003 and 2006
a total of 265 devices were implanted at our institution.The 89 high-risk patients were determined by the predictors of hematoma occurrence(marasmatic elder
the deficiency of the clotting mechanism for hepatic diseases
or incognizable severe intraoperative bleeding)
and other 186 patients were included in non-high-risk group.The 89 high-risk patients were randomized into treatment and control subgroups by sortition.Surgical procedures differed only by the application of the portable
economic drainage device prior to wound closure in treatment subgroup.Results:The incidence of pocket hematoma was 4.3% in treatment subgroup
18.6% in control subgroup and 2.7% in non-high-risk group
leading to 2
6 and 3 patients’ prolonged hospitalization
respectively.The additional cost due to pocket hematoma was lower(1.5 times) in the treatment group compared to the control group.There wasn’t antidromic infection and delayed cure of the skin incision with the use of our drainage device within 6 months.Conclusion:Our portable drainage device was made up easily and quickly.It could decrease the total cost of hospitalization
did not increase the other adverse events and seemed to be suitable for such patients with a tendency to develop pocket hematoma undergoing the implantation of pectoral pacemakers
implantable cardioverter defibrillator
or cardiac resynchronization therapy.
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