紧急床旁临时心脏起搏在ICU危重病抢救中的应用  

The Application of Emergent Bedside Temporary Cardiac Pacing in ICU

作　　者：林乐清[1] 

机构地区：[1]杭州市第二人民医院ICU,310015

出　　处：《医学研究杂志》2008年第6期111-113,共3页Journal of Medical Research

摘　　要：目的利用起搏脉冲引导普通电极行床旁临时起搏，观察危重病人紧急临时心脏起搏成功率，手术并发症并总结手术技巧。方法回顾性分析2004年6月～2007年6月我院ICU病房床旁安置临时起搏器的患者共38例。结果38例均于15min内顺利起搏成功，2例出现短阵室性心动过速；2例因不能稳定起搏改用标测电极于20min内起搏、固定成功。6例8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心脏起搏简便、快速、有效、安全，适用于危重急症的抢救，ICU病房配备标测电极亦属必要。Objective To observe the success rate, complications of bedside pacing using ordinary electrodes lead guided by pacing signal in intensive care unit （ICU） and to summarize the procedure techniques. Methods 38 cases of temporary beside pacing conducted from June of 2004 to June of 2006 in our hospital from ICU were analysed retrospectively. Results 38 cases all achieved successful pacing within 15 minutes, non - sustainable ventricular tachycardia occurred in 2 patients; measuring electrodes were used successfully within 20 minutes to 2 cases with unstable pacing ; Electrodes lead micro - dislocation occurred 8 times in 6 cases. All patients recovered after prompt management. No serious complications such as thrombosis, embolism, pneumohemothorax or my ocardium perforation happened. Conclusion Bedside temporary cardiac pacing using ordinary electrodes lead guided by pacing signal is convenient, rapid, effective and safe. It is feasible in emergency cases and to prepare the measuring electrodes is necessary indeed in ICU.

关 键 词：临时心脏起搏 普通电极 起搏脉冲 手术并发症 

分 类 号：R541.7[医药卫生—心血管疾病]