摘要
1987~1998 年, 共收治541 例需心内直视术的患者, 11例出现Ⅲ度房室传导阻滞, 发生率为2.03% 。熟识心脏解剖和掌握手术技巧是预防Ⅲ度房室传导阻滞的关键。一旦发生,应安放和正确使用临时起搏器,并合理应用药物将心室率控制在60~90 m in- 1。
From 1987 to 1998, 541 patients undergoing open heart surgery were studied. Of them 11 were diagnosed having Ⅲ degree atrioventricular block (AVB) with the incidence being 2 03 %. The key to prevent Ⅲ degree AVB was to clearly know the heart anatomy and master the surgical skills. As soon as Ⅲ degree AVB occurred, it was recommended that the temporary cardiac pace maker was installed and correctly used, and the ventricular beating rate was controlled at a range of 60 to 80 beats per min.
出处
《同济医科大学学报》
CSCD
1999年第4期362-363,共2页
Acta Universitatis Medicinae Tongji
关键词
心内直视术
房室传导阻滞
术后
处理
open heart surgery
\ Ⅲ degree atrioventricular block