紧急床旁临时心脏起搏173例分析  

Analysis of Emergent Bedside Temporary Cardiac Pacing in 173 Cases with Serious Arrhythmia

作　　者：周兰清[1] 潘家华[1] 喻卓[1] 阚瑞媛[1] 刘苓[1] 张瑞云[1] 梁立权[1] 

机构地区：[1]昆明医学院附属第一医院心内科

出　　处：《中国心脏起搏与心电生理杂志》1998年第4期186-187,共2页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：对两种临时心脏起搏方法的效果和并发症作一分析。１７３例严重心律失常患者分别采用两种床旁临时起搏方法：即用球囊飘浮电极经静脉心内膜起搏１６９例，用钢丝电极剑突下经皮穿刺心内膜起搏４例。结果：用球囊飘浮电极经静脉心内膜起搏全部成功，起搏７（１～３１）天，电极脱位６例经重新安置电极后恢复起搏；穿刺损伤胸导管１例。用钢丝电极剑突下经皮穿刺心内膜起搏４例，１例成功；３例因心脏停搏时间太久而失败。结论：两种临时心脏起搏方法急救不宜搬动的严重心律失常病人均有效。The purpose of this report was to analysis and discuss two kinds of different emergent bedside temporary cardiac pacing in 173 patients with serious arrhythmia and heart diseases,including transvenous method with balloon tipped electrode in 169 cases and transthoracic cardiac pacing electrode kid in 4 cases.Tranvenous temporary cardiac pacing with balloon tipped electrode was successful in all cases.Pacing time was 1～31 days,mean 7 days.Complication included electrode dislocation in 6 cases,lymphagion damaged in one case.Transluminal subxiphoid pacing with wire lead was successful in one of 4 cases.The results show that the two methods are effective for serious arrhythmic patients.

关 键 词：心脏起搏 起搏方法 紧急起搏 心律失常 

分 类 号：R541.705[医药卫生—心血管疾病] R654.2[医药卫生—内科学]