床旁临时心脏起搏术在抢救严重缓慢性心律失常中的应用  

Treatment of Acute Serious Bradycardia by Using Emergency Temporary Pacing

作　　者：袁祥光[1] 霍志成[1] 王智明[1] 陈玉兰[1] 谢衬梨[1] 

机构地区：[1]广东省东莞市太平人民医院内科,广东东莞523900

出　　处：《河北医学》2006年第4期332-333,共2页Hebei Medicine

摘　　要：目的:探讨床旁临时心脏起搏在抢救严重缓慢性心律失常患者的应用价值。方法:严重缓慢性心律失常患者28例,均经床旁左锁骨下静脉置入起搏电极,观察心电图图形,判断电极位置。结果:28例患者均右心室起搏成功,从开始穿刺到起搏成功均≤15m in。所有病例于成功起搏后血流动力学明显改善,经原发病治疗后心律失常得到有效控制。结论:床旁临时心脏起搏术在抢救严重缓慢性心律失常患者的疗效确切,是严重缓慢性心律失常或心脏骤停的重要抢救技术之一。Objective： Byusing beside emergency temporary cardiac pacing through left subclavicular vien without the direction of X - ray. Method： 28 patients suffered from chronic serious bradycardia and marked heamodynamic discorder were treated. The pacemaker electrode position in right ventricle and cardiac paceing could be estimated by use of superficial ECG. Result： All 28 patients were successfully paced. Period from puncturing to successful pacing was less 15 min. Conclusion： In＇this paper , how to improve the success rate of puncture , prevent misleading the catheter into subelavicular artery of vein were discussed.

关 键 词：心脏起搏器 锁骨下静脉 心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]