摘要
目的观察严重缓慢性心律失常进行紧急床边心脏临时起搏治疗的效果。方法对20例患者采用Seldinger法穿刺左锁骨下静脉,在体表心电图监护下送入漂浮球囊电极直到起搏脉冲夺获心室。结果20例患者中,起搏成功19例,成功率达95%。从开始穿刺到成功起搏的时间为15～20min,平均起搏阈值为0.7±0.4V。1例临时心脏起搏失败,1例患者于第2天发生临时起搏导管移位而引起起搏失败,1例急性心肌梗死患者在临时心脏起搏过程中死于室颤。结论应用漂浮球囊电极行床边临时心脏起搏治疗严重缓慢性心律失常的技术值得推广应用。
Objective To evaluate the result and safety of transvenous temporary cardiac pacing in severe slow arrhythmia patients. Methods The left subclavicular vein or right femoral vein in 20 patiens with severe sinus dysfunction or AV block was punctured bedsidely, and temporary pacing catheter with balloon was implanted into right ventricle without Xray fluoroscopy. Results The successful rate of cardiac pacing was 95% in 20 patients. The procedure lasted 15-20 minutes. The average pacing threshold in right ventricles was 0.7±0.4V. The procedure in one patient failed through femoral vein. One patient died from veutricular fibrillation during the procedure. Conclusion The transvenous temporary cardiac pacing is safe and effective.
出处
《中国现代医药杂志》
2006年第12期12-13,共2页
Modern Medicine Journal of China
关键词
球囊
电极导管
床边
心脏起搏
Balloon Pacing lead catheter Bedside Cardiac pacing
