右颈内静脉起搏脉冲引导临时心脏起搏的护理  

作　　者：管癸芬[1] 顾玉琴[1] 谢佩玲[1] 李炳流[1] 

机构地区：[1]广州医学院第二附属医院急诊科,广东广州510260

出　　处：《现代临床护理》2006年第2期46-46,62,共2页Modern Clinical Nursing

摘　　要：目的探讨右颈内静脉起搏脉冲引导临时心脏起搏的效果和护理措施。方法回顾性分析2003年7月～2004年7月15例缓慢性心律失常的患者应用右颈内静脉床旁插管行临时心脏起搏的效果和护理情况。结果15例患者起搏成功,从穿刺开始到成功起搏的时间为3.0±0.2min,合并III度房室传导阻滞患者,全部恢复窦性心律。结论缩短操作时间是提高抢救成功率的关键之一;做好术后护理是保证起搏成功的基础。Objective To discuss the effect and nursing measure of temporary cardiac pacing through right internal jugular vein guided by pacemaker pulse. Methods 15 patients with slow arrhythmia were temporary transvenous catheterized through right internal jugular vein by bedside from 2003 July to 2004 December. The effect and nursing process of cardiac pacing was retrospectively analyzed： Results The pacing was successful in all of 15 cases. It was 3.0＋0.2min from puncturing to successfully pacing. The patients combined with Ⅲ° atrioventricular block were resumed sinus rhythm. Conclusion Shortening operation time is the key for successful emergency treatment; consummate postoperative nursing lays a foundation for successful pacing.

关 键 词：起搏脉冲引导 右颈内静脉 临时心脏起搏 护理 

分 类 号：R473.5[医药卫生—护理学]