经右颈内静脉快速床边起搏30例报告  

Rapid bedside temporary cardiac pacing by right internal jugular vein approach:the experience of 30 cases.

作　　者：刘坤申[1] 刘超[1] 夏岳[1] 李延辉[1] 杜荣品[2] 边树怀[2] 郭志琴[2] 

机构地区：[1]河北医科大学第一医院,石家庄050031 [2]河北省人民医院,石家庄050051

出　　处：《中国实用内科杂志》2002年第6期368-369,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的　探讨经右内静脉进行床边快速起搏的方法。方法　采用Jernoigan法穿刺右颈右静脉 ,并导入自制的远端呈J形鞘管至高右房上腔静脉口 ,然后在体外将J形弯头转向三尖瓣口 ,经鞘管插入电极导管直至右室起搏。结果　共 30例在床边迅速达到有效起搏 ,插入时间为 6～ 30s(平均 13s)。结论　采用Jernigan法穿刺右颈内静脉 ,置入远端呈J形鞘管 ,起搏迅速 ,可在床边不需X线指引 。Objective To explore a method for rapid bedside temporary pacing by the right internal jugular vein approach.Method The right internal jugular veni puncture was taken by Jernigan technique and self made J tipped introducer was introduced to get to the high right atrium by the vein approach,then the J curvature of the introducer at the distal end is turned and directed at the tricusped valve outside the body,the lead attached to external pacemaker was inserted and advanced through the introducer until continuous ventricular captures appeared on the fluoroscopy.Results 30 patients in total were paced rapidly and successfully at bedside without Roentgenography.Continuous right ventricular pacing was got within 1～3 (median 2) minutes from vein puncture and within 6～30(median 13) seconds after the placement of the introducer had been completed,respectively.Conclusions The rapid bedside temporary pacing can be performed safely and rapidly through the J tipped introducer by the right internal jugular vein approach without Roentgenography.

关 键 词：心脏起搏 临时 床边 颈内静脉 J形轨道管 

分 类 号：R541[医药卫生—心血管疾病]