起搏脉冲引导下应用心室标测电极行床旁临时起搏82例  

Eighty-two cases of temporary bedside pacing using non-balloon electrodes lead guided by pacing signal

作　　者：欧柏青[1,2] 姜德谦[1] 张翼[2] 宁忠平[2] 骆杨平[2] 郭莹[2] 杨玉莲[2] 

机构地区：[1]中南大学湘雅二医院心内科,湖南长沙410005 [2]湖南省人民医院心内科

出　　处：《中国心脏起搏与心电生理杂志》2007年第2期147-148,共2页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的利用起搏脉冲引导普通电极行床旁临时起搏,观察其成功率,手术并发症并总结手术技巧。方法回顾性分析2003年7月至2006年7月我院床旁安置临时起搏器的患者共82例。结果82例中有80例(97.5%)起搏成功,6例出现短阵室性心动过速,1例低钾患者出现心室颤动。15例28次出现电极微脱位,均经处理后恢复正常。全部病例无血栓形成,无栓塞、血气胸及心肌穿孔等并发症的发生。结论起搏脉冲引导普通电极进行床旁临时起搏简便、快速、有效、安全,适用于危重急症的抢救及外科手术前的保护性起搏。Objective To observe the success rate, complications of bedside pacing using non-balloon electrodes lead and to summarize the procedure techniques. Methods Eighty-two cases of temporary beside pacing conducted from July of 2003 to July of 2006 in our hospital were analysed retrospectively. Results Eighty out of 82 cases （97.5 % ） achieved successful pacing, non-sustainable ventricular tachycardia occurred in 6 patients, ventricular fibrillation appeared in one case with hypokalaemia; Electrodes lead micro-dislocation occurred 28 times in 15 cases. All patients recovered after prompt management. No serious complications such as thrombosis, embolism, pneumohemothorax or myocardium perforation happened. Conclusion Bedside pacing using non-balloon electrodes lead is convenient, rapid, effective and safe. It is feasible in both emergency cases and preventive pacing for surgery patients with bradycardia.

关 键 词：心血管病学 临时起搏 普通电极 起搏脉冲 

分 类 号：R318.11[医药卫生—生物医学工程]