• 한국임상수의학회지
• /
• 제26권2호
• /
• pp.166-169
• /
• 2009

11년령의 수컷 비글(10.5 kg)이 사고로 과량의 딜티아젬을 섭취한 후 급작스러운 서맥과 심한 저혈압으로 내원하였다. 환자는 경피용 체외 심박조절기의 적용하에서 등장성 crystalloid 용액, 아트로핀, calcium gluconate, 도부타민, 글루카곤, 위세척의 처치를 받았다. 단기간의 경피용 체외심박조절기의 사용과 약물적 치료요법으로 환자의 심장 리듬과 상태는 안정화 되었다.

• 대한화상학회지
• /
• 제24권2호
• /
• pp.50-52
• /
• 2021

Iatrogenic electrical burns that occur from the use of a defibrillator, a paddle-type cardiac shock device, have been reported in various forms. Electrical burns are usually conducted directly through the skin and are more damaging than scald burns or contact burns. A transcutaneous cardiac pacing device is a patch-type cardiac shock device that automatically delivers a shock when an abnormal heart rhythm is detected. We introduce a unique case of iatrogenic electrical burns caused by the transcutaneous pacing patch of a cardiac shock device. Electrical energy was converted into a spark due to foreign bodies deposited around the patch, resulting in damage to the peripheral area of the skin.

• 한국임상수의학회지
• /
• 제25권5호
• /
• pp.400-404
• /
• 2008

10살된 암컷 요오크셔테리어(체중 3 kg)가 심한 호흡곤란 청색증, 간헐성 발작 증상으로 진료가 의뢰되었다 신체검사 결과 지속성 맥박결손을 동반한 불규칙 서맥이 부정기적으로 관찰되었다. 심전도 검사에서 고도의 방실차단이, 방사선검사에서 중증 기관허탈이 진단되었다. 피부경유 심박조절 하에 자동확장 기관내 스텐트를 성공적으로 장착할 수 있었다.

• 한국임상수의학회:학술대회논문집
• /
• 한국임상수의학회 2008년도 춘계학술대회
• /
• pp.90-90
• /
• 2008

• Journal of Chest Surgery
• /
• 제16권2호
• /
• pp.190-198
• /
• 1983

The management of cardiac arrhythmias by cardiac pacing has increased greatly since the treatment of complete heart block with an external transcutaneous pacemaker in 1952, followed by the use of myocardial wires connected to an external pulse generation, by external transvenous pacing, and then by transvenous pacing with implantable components in thoracic wall.By now, the three bases of modern cardiac pacing for bradyarrhythmias had been established [1] an implantable device [2] the transvenous approach [3] the ability of the pacemaker to sense cardiac activity and modify its own function accordingly. In transvenous implantation of a pacemaker, any one of four vessels at the root of the neck is suitable for passage of the electrode - cephalic vein, external jugular vein, internal jugular vein, costo-axillary branch of the axillary vein. The new technique of direct puncture of the subclavian vein, either percutaneously or after skin incision only has been made, is invaluable & is used routinely. We have experienced one 25 years old patient who had rheumatic mitral stenosis & minimum aortic regurgitation with sinus bradycardia associated with premature atrial tachycardia & another 54 years old female patient who was suffered from sick sinus syndrome with sinus bradycardia & sinus arrest. The 1st patient was taken open mitral commissurotomy & aortic valvuloplasty and then was taken atrlal pace-maker implantation through If subclavian puncture method in post-op 14 days, and the second patient was taken atrial pacemaker implantation through If subclavian puncture method. Their postop course was in uneventful & were discharged, without complication. Their condition have been good to now.