经锁骨下静脉床旁紧急心脏临时起搏12例分析  

12 Cases of Bedside Emergency Temporary Cardiac Pacing Via Left Subclavian Vein

作　　者：郑伟华[1] 吴桂深[1] 高国贵[1] 杨伟东[1] 李玉燕[1] 

机构地区：[1]广东省中山市人民医院急诊科,528403

出　　处：《岭南急诊医学杂志》2002年第2期94-95,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:总结经左锁骨下静脉插入导管床边紧急心脏临时起搏在急诊抢救中的应用。方法:12例阿-斯综合征、心脏骤停患者在急诊床边经锁骨下静脉插入带指引钢丝临时起搏导管,应用AXQ-3体外起搏器,边起搏边推送电极导管,紧急心脏起搏。结果:12例均起搏成功,达到有效起搏时间为3～9分钟,效果恒定、可靠。结论:该法起效快,疗效肯定,急诊应用,可缩短有效起搏时间,使更多危重者获救。Objective: To conclude the clinic applying of bedside emergency temporary cardiac pacing via subclavian vein. Methods: 12 patients with Adams-strokes pacing. Webster catheter electrode was inserted general right ventricular using seldinger and general right heart catheter procedure. External pace-marker of AXQ-3type was used. Results: 12 cases were all succeeded. The rescuing time was 3 to 9 min, and effect was permanent and reliable. Conclusion: It was a effective and rapid method, and it would achieve more beneficial results.

关 键 词：心脏起搏 锁骨下静脉 急诊抢救 

分 类 号：R541.7[医药卫生—心血管疾病]