摘要
目的探讨体外无创性心脏起搏(ENCP)在抢救急诊心律失常患者中的作用。方法对我院47例危重心律失常患者应用ENCP,其中18例应用ENCP后行经静脉体内起搏(TCP),对比两者的操作时间和血液动力学效应。结果 ENCP比TCP的平均操作时间更短(P<0.05)。行ENCP时心脏左室的心缩压、主动脉舒张压与TCP无明显差异(P>0.05);行ENCP时右室平均压与肺动脉平均压比自身心律高(P<0.05),肺动脉收缩压显著高于TCP及自身心律(P<0.05);两种起搏方式心排量无差异(P>0.05)。结论 ENCP操作简便,可以获得与TCP相似的血液动力学效果,是快速有效的临时起搏方法。
Objective To evaluate the wdidity of external noninvasive cardiac pacing （ENCP） in emergency treatment of patients with arrhythmia. Methods A total of 47 acute arrhythmia patients in our hospital accepted ENCP, 18 of them accepted TCP after ENCP. The duration and haemodynamie effect were compared. Results the duration of ENCP were shorter than the time of TCP （P 〈 0.05）; there was no significant difference about the LVSP, AOSP between the two groups.the MRVP, MPAP of ENCP were higher than MRVP, MPAP of autologous rhythm （P 〈 0.05）, PASP of ENCP was significantly higher than PASP of TCP and autologous rhythm, there was no significant difference about the cardiac output between the two groups（P 〈 0.05）. Conclusion ENCP is timely, convenient and as effective as TCP in haemody-
出处
《中国现代医生》
2014年第9期31-33,共3页
China Modern Doctor
基金
浙江省医药卫生一般研究计划(2011KYA061)
