生理性起搏的临床应用  

Clinical Application of Physiological Pacing

作　　者：田青平[1] 路雅茹[1] 吴建国[1] 

机构地区：[1]天津市胸科医院心内科,300051

出　　处：《天津医药》2000年第4期209-211,共3页Tianjin Medical Journal

摘　　要：目的:探讨生理性起搏的临床应用。方法:37例病态窦房结综合征(SSS)患者安置AAI型起搏器;46例心律失常患者和15例肥厚型梗阻性心肌病(HOCM)患者安置DDD型起搏器。所有患者均进行随访,并对HOCM患者进行血液动力学观察。结果:经3个月至6年随访,所有心律失常患者临床症状均显著改善,37例AAI起搏患者无1例发生房室传导阻滞;15例HOCM患者左室流出道增宽,压力阶差减低,使流出道梗阻得到不同程度的缓解。结论:AAI及DDD起搏可提供房室顺序起搏。对药物治疗无效的HOCM患者DDD起搏为一种能替代外科手术、安全有效的治疗方法;对病态窦房结综合征患者AAI起搏器为实用、经济、简单的生理性起搏。Objective:To investigate the clinical usage of physiological pacing. Methods: 37 cases with SSS were implanted with AAI pacemaker;46 cases with arrhythmia and 15 cases with HOCM were implanted with DDD pacemaker. All patients were followed up and the hemodynamics of HOCM patients were monitored. Results:Through three months^six years fol-low-up, the symptoms of all patients with arrhythmia were improved obviously. None AVB happened in AAI group. The LVO was enlarged, the blood pressure gradient was lowered in HOCM patients,and the obstruction was released in a certain degree. Conclusion;AAI,DDD pacemaker can pace atrial and ventricular sequently. To HOCM patients,DDD pace is a safe and effective method which can replace surgery. To SSS patients, AAI pacemaker is a cheap,easy to use and effective physio-logical pacing.

关 键 词：生理性起搏 临床应用 人工心脏起搏器 

分 类 号：R654.2[医药卫生—外科学]