摘要
目的对应用普通电极导管行床边临时心脏起搏的病例进行总结分析,探讨床边临时心脏起搏在抢救危险性缓慢型心律失常患者的可行性和疗效。方法22例因多种严重缓慢型心律失常的患者应用床边普通双极电极导管进行临时心脏起搏,根据起搏心电图图形特点和导管深度,判断起搏方法的可行性和成功率。结果22例患者中,21例床边临时心脏起搏获成功,1例因血管迂曲畸形改在X线下重新插管亦成功起搏。无感染、无血栓形成或栓塞、无气胸、无静脉炎、无心脏穿孔等并发症发生,从穿刺到右室开始起搏时间为3～10(6.5±2.6)min,起搏时间为3～147.2±3.3)d。结论在体表心电图和导管深度指导下,应用普通电极导管进行床边临时心脏起搏是一(个简单、快捷、安全有效、实用的起搏的方法,只要操作方法正确,成功率高,对挽救生命,提高抢救成功率有积极作用,易于在基层医院推广应用。
Objective To evaluate the feasibility and effect of bedside temporary cardiac pacing by ordinary catheter for vital bradyarrhythmia. Methods Bedside temporary cardiac pacing was applied to 22 patients with severe bradyarrhythmia. Guided by the length of catheter in body and the QRS morphology of pacing electrocardiogram（ECG）.Then the feasibility and successful rate of the operation were analyzed. Results Among 22 patients, 21 patients were successfully paced at bedside with ordinary catheter. Another one, because of tortuosity of vessel, under X-ray, the operation was successful, too. All the eases without infection, thrombosis, embolism, pneumothorax, phlebitis or cardiac perforation. It took （6.5±2.6）min to place the catheter into right ventricle.And the catheter was retaining （7.2±3.3）d. Conclusion Guided by length of catheter and QRS morphology of pacing ECG, bedside temporary cardiac pacing with ordinary catheter can be simply, quickly, safely and effectively with right method, it has high successful rate. And it is easy to generalize.
出处
《中国心血管病研究》
CAS
2006年第2期138-139,共2页
Chinese Journal of Cardiovascular Research
