起搏器置入术中惊厥12例临床分析  

Clinical study on convulsion in the procedure of pacemaker implantation

作　　者：周明[1] 王俊峰[1] 谢建[1] 高振[1] 党书毅[1] 

机构地区：[1]湖北医药学院附属太和医院心血管内科,十堰市442000

出　　处：《中国心血管病研究》2013年第10期765-767,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 探讨起搏器置入术中惊厥发生的原因及预防和临床处理对策.方法 对12例患者进行回顾性研究,对其临床诊断、预防措施、发作时心电表现及抢救过程进行分析.结果 5例因严重心律失常导致心源性惊厥,立即行胸外心脏按压处理,恢复后4例接受紧急临时起搏保护.7例发生惊厥时无严重心律和血压改变,与利多卡因毒副作用相关,自行恢复.结论 加强预防恶性心律失常措施和正确掌握利多卡因的用法,可以有效减少起搏器术中惊厥的发生.Objective To study the possible reasons which induce convulsion during the implantation of cardiac pacemaker. Methods The clinical presentation and treatment of 12 patients with convulsion with convulsion in the procedure of pacemaker implantation were analyzed. Results Five patients had serious cardiac arrhythmias and were received chest compression.Four patients were given temporary cardiac pacing. Seven patients which were associated with adverse reaction of lidocaine had no serious changes in heart rate and blood pressure,these patients were given no special treatment. Conclusion Convulsion in the procedure of pacemaker implantation can be reduced by preventing serious arrhythmias and grasping the usage of lido- caine correctly.

关 键 词：心脏起搏术 惊厥 心律失常 利多卡因 

分 类 号：R541.7[医药卫生—心血管疾病]