超声心动图辅助指导床旁临时起搏器植入术的临床应用  

Clinical application of bedside temporary pacemaker implantation guided by echocardiography

作　　者：亓俊杰[1] 邢永生[2] 

机构地区：[1]新乡市中心医院心血管内科,河南新乡453000 [2]新乡市中心医院心脏监护室,河南新乡453000

出　　处：《实用心电学杂志》2016年第1期32-34,38,共4页Journal of Practical Electrocardiology

摘　　要：目的比较在超声心动图指导下行心脏临时起搏与床旁漂浮电极导管心脏临时起搏的临床疗效、安全性及操作时间的差异。方法 90例需进行临时起搏的患者,随机分为两组,A组(52例)在超声心动图指导下将普通起搏电极导线植入右心室进行临时起搏;B组(38例)通过常规球囊漂浮起搏电极导管置入。两组均穿刺左锁骨下静脉。比较两组手术操作时间、起搏成功率、起搏阈值、电极导线脱位率。结果与B组相比,A组在操作时间,起搏成功率,起搏阈值方面均好于B组(P<0.05)。起搏成功率为96.2%和86.8%,起搏阈值为(0.75±0.32)V和(0.95±0.45)V。结论在超声心动图指导下行心脏临时起搏器植入可明显缩短手术操作时间,安全、有效,具有临床实用价值。Objective To compare the differences of clinical curative effect,safety and operation time between temporary pacemaker guided by ultrasonic cardiogram and conventional pacemaker with floating pacemaker electrode catheter temporary. Methods A total of 90 cases who need emergency cardiac pacemaker were punctured left subclavian vein and divided into group A（ 52 cases）,temporary cardiac pacing by inserting pacemaker leads under the guidance of echocardiogram and group B（ 38 cases）,temporary cardiac pacing by inserting pacemaker leads through balloon floating.Operation time,success rate of pacemaker,pacemaker threshold,the pacemaker leads dislocation rate were compared between the two groups. Results Compared with group B,the operation time,success rate of cardiac pacing and pacing threshold in group A were better than that of group B（ P〈0. 05） with success rate 96. 2% and 86. 8%,respectively,pacing threshold（ 0. 75 ＋ 0. 32） V and（ 0. 95- 0. 45） V,respectively. Conclusion Temporary cardiac pacing guided by echocardiogram could obviously be superior to conventional beside temporary pacemaker via floating pacemaker leads in operation time,safety and effectiveness and of clinical value.

关 键 词：超声心动图 临时心脏起搏 漂浮起搏电极导管 

分 类 号：R541.71[医药卫生—心血管疾病]