心脏起搏器q的学习教案.pptxVIP

心脏起搏器q的学习教案第1页/共18页 Cardiac pacemaker constitute and principle1catalogue Move to artificial heart pacemaker system2 Permanent cardiac pacemaker complications3 The safety of the pacemaker4C The reason of cardiac pacemaker replacement5 Cardiac pacemaker with wireless charging system6第2页/共18页 Cardiac pacemaker constitute and principle1-1Cardiac pacemaker is a electronic instrument that can move into intra-individual. Through the pulse generator electrical impulses, via the conductive wire electrode conduction, stimulating electrode contact by the heart muscle，make the heart excited and contraction.Pulse generator pulsecurrentwires and electrodesheart musclelocal myocardial cells exciteintercellular gap junctions 、 intercalated disc connectionsurrounding myocardium conductionatrial or ventricular excite,produce contraction第3页/共18页 Cardiac pacemaker constitute and principlele1-2Pacemaker system compositionPulse generator + electrode wires.Pacemaker is mainly composed of power supply (i.e. batteries, now main use lithium battery - iodine) and the electronic circuit process， can generate and output electrical pulse.Electrode conductor is the conductive wire with insulation wrapped outside, its function is to transfer the electrical impulses of the pacemaker to the heart, and the lumen electrocardiogram transmitted to the pacemaker of the heart of the sensing line第4页/共18页 Move to artificial heart pacemaker system2-1Temporary cardiac pacing percutaneous pacemaker, approved by esophageal pacemaker, the chest wall puncture pacemaker, open chest epicardial pacemaker and transvenous pacemaker.Permanent pacemakerAt present, most of the use of the endocardial electrode wires. Technical points including vein selection, fixed and pacemaker wire electrode embedment。第5页/共18页 Permanent cardiac pacemaker complications3-1Permanent pacemaker complicationsImplant surgery related complicationsarrhythmia local bleeding cardiac perforation