超声引导下完成心脏起搏器植入初探  

Primary experiences of echocardiography-guided permanent pacemacker implantation.

作　　者：郭涛[1] 赵淮[1] 顾云[1] 倪锐志[1] 赵玲[1] 韩明华[1] 李淑敏[1] 刘中梅[1] 肖践明[1] 吴昌元[1] 

机构地区：[1]昆明医学院第一附属医院,云南昆明650032

出　　处：《云南医药》1999年第5期323-324,共2页Medicine and Pharmacy of Yunnan

摘　　要：目的　探讨超声显像应用于心脏起搏器导管植入的方法和效果。方法　１４ 例在超声引导下安置起搏导管， 分别取剑下上下腔静脉长轴切面、剑下四腔切面、左侧位心尖四腔、胸骨旁四腔切面和剑下右室流出道长轴切面反复确认导管尖端经上腔静脉、右房、三尖瓣口抵达右室心尖部。结果　１４ 例手术顺利完成， 电极定位指标均满意， 除１ 例电极脱位外， 无其他并发症。结论　超声引导下实施心脏起搏， 可作为Ｘ线透视下永久起搏术的替代和补充， 采用多切面、动态观察电极尖端走向是定位成功的关键。Objective To evaluate the efficiency and safety of two-dimensional echocardiography(2DE) in transvenous pacemaker implantation. Methods Transvenous pacemaker implantation were performed in 14 patients with bradycardia, 2DE was used to locate endocardiac leads with multisection echoscan and dynamic echoscan during operation. Results Procedure success was 14 cases and all of them were gained improved quality of life, no complication occurred during procedure and follow-up. Conclusion Permanent pacemaker implantation by the aid of 2DE is a safe and reliable method with high successful rate and low complication and lower cost.

关 键 词：超声引导 心脏起搏器植入 超声心动图 

分 类 号：R654.2[医药卫生—外科学]