漂浮电极导管在临时心脏起搏器植入术中的应用及技巧  

Application and skill of balloon-tipped floating catheter in temporary cardiac pacing

作　　者：郝杰[1] 刘凡[1] 

机构地区：[1]河北医科大学第二医院心血管内科河北省心脑血管病研究所,河北石家庄050000

出　　处：《临床荟萃》2017年第6期462-465,共4页Clinical Focus

摘　　要：临床上常遇到严重缓慢性心律失常的患者,此时临时心脏起搏是常用的有效抢救手段,安全迅速在床旁植入临时起搏器对救治重症患者至关重要。在无X线的情况下,床旁植入临时起搏器需要应用漂浮电极导管。可经股静脉、锁骨下静脉或颈内静脉途径完成漂浮电极导管的植入,送入导管过程中监测起搏心电图的变化,以心电图的图形变化代替X线,指导漂浮电极导管的放置。Serious bradyarrhythmia,three degree atrioventricular for example,is common in clinic,while temporary cardiac pacing is a kind of primary measure to rescue severe patients in emergency.It is very important to implant temporary pacemakers safely and rapidly.In the condition of emergency without X ray,balloon-tipped floating catheter is helpful in the process of implantation of bedside temporary pacemaker.Operator can put balloon-tipped floating electrode catheter to right ventricular via femoral vein,subclavian vein or internal jugular vein.And balloon-tipped floating catheter is inserted guiding by the length of catheter in body and the QRS morphology of pacing electrocardiogram.

关 键 词：心脏起搏器 人工 电极 植入 导管 

分 类 号：R541.7[医药卫生—心血管疾病]