非X线透视下应用球囊漂浮电极行床旁临时起搏的可行性探讨  

The feasibility of bedside temporary transvenous cardiac pacing with balloon tipped floating catheter under non X-ray fluoroscopy

作　　者：赵勇[1] 

机构地区：[1]四川省医学科学院四川省人民医院城东病区急诊科,成都,610101

出　　处：《中国医师进修杂志》2014年第11期33-35,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨非X线透视下应用球囊漂浮电极行床旁临时起搏的可行性.方法 24例床旁临时心脏起搏（心室起搏）患者中,行普通电极起搏11例（普通组）,行球囊漂浮电极起搏13例（球囊组）.观察两组操作时间、起搏阈值、起搏感知、并发症等.结果 球囊组全部安置成功;普通组8例成功.球囊组操作时间明显小于普通组[（2.5±1.5） rmin比（9.3±5.3） min],差异有统计学意义（P＜0.05）,而起搏阈值、起搏感知比较差异无统计学意义（P＞0.05）.普通组发生并发症2例,分别为心包穿孔和诱发短阵室性心动过速;球囊组并发电极导线脱位2例.结论 与普通电极相比,球囊漂浮电极有操作简便、快捷、成功率高、并发症危险度低的优点,适宜急诊医师床旁操作紧急临时起搏.Objective To investigate the feasibility of bedside temporary transvenous cardiac pacing with balloon tipped floating catheter under non X-ray fluoroscopy.Methods Twenty-four patients of bedside temporary transvenous cardiac pacing,11 cases underwent common electrode （common group）,13cases underwent balloon tipped floating electrode （balloon tipped group）.The operating time,pacing thresholds,pacing perception and complications were observed between two groups.Results All balloon tipped group placement success,8 cases in common group successfully.The operating time in balloon tipped group was significantly less than that in common group [（2.5 ± 1.5） min vs.（9.3 ±5.3） min],there was significant difference （P 〈 0.05）,but pacing thresholds and pacing perception between two groups had no significant difference （P 〉 0.05）.Common group occurred complications in 2 cases,respectively cardiac perforation and induced paroxysmal ventricular tachycardia,balloon tipped group occurred concurrent electrode wire dislocation in 2 cases.Conclusion Compared with the common electrode,balloon tipped floating electrode is simple,fast,high success rate and low risk of complications,suitable emergency physician bedside operating emergency temporary pacing.

关 键 词：心脏起搏器 人工 急诊处理 非X线透视 球囊漂浮电极 

分 类 号：R541.7[医药卫生—心血管疾病]