临时心脏起搏在急性中毒并严重缓慢心律失常的疗效研究  

Efficiency of temporary cardiac pacing in the acute poisoning patients with serious bradycardia

作　　者：刘骏达[1] 黄晓庆[1] 范怀周 黄林喜[1] 

机构地区：[1]汕头大学医学院第一附属医院潮南院区急救中心, 515041

出　　处：《中国综合临床》2010年第7期698-700,共3页Clinical Medicine of China

摘　　要：目的 探讨在临时心脏起搏术支持下对急性中毒并严重缓慢心律失常进行中毒抢救的,临床意义.方法 对38例急性中毒并严重缓慢心律失常患者在急诊救治过程中随机采用临时心脏起搏器治疗（起搏组,18例）和药物治疗（对照组,20例）,再进行解毒治疗.结果 起搏组18例经床旁临时心脏起搏术右心室起搏成功并置入临时心脏起搏器,配合解毒治疗措施后心律失常改善有效率为100%,而对照组为60%,2组比较差异有统计学意义（x2=19.7,P〈0.01）.中毒治愈率起搏组为88.9%,对照组为65.0%,2组比较差异有统计学意义（x2=8.2,P〈0.05）.结论 床旁临时心脏起搏术在抢救急性中毒并严重缓慢性心律失常患者的疗效确切,能有效提高患者的抢救成功率.Objective To explore the efficiency of temporary cardiac pacing on the acute poisoning patients with serious bradycardia.Methods Thirty-eight cases of the acute poisoning patients with serious bradycardia were treated randomly with temporary cardiac pacing （pacing group, 18 cases） and drug therapy （control group,20 cases） and followed with treatment for poisoning. Results Right ventricular pacing were successfully performed in 18 cases and the temporary cardiac pacemaker were placed. With the further treatment of poisoning, in the pacing group, the efficiency of anit-bradycardia and the poisoning cure rate was 100% and 88. 9% , respectively, whereas being 60% and 65.0% in the control group, respectively. The efficiency of anit-bradycardia and the poisoning cure rate were significantly different between the two groups （P 〈 0.01 or P 〈 0.05 ）. Conclusions The treatment of temporary cardiac pacing has effect on the acute poisoning patients with serious bradycardi. It can effectively improve the rate of patients＇ resuscitation.

关 键 词：心脏起搏 中毒 心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]