摘要
目的探讨经右颈内静脉穿刺行床边临时心脏起搏器安装的临床疗效。方法对50例各种病因所致的缓慢性心律失常患者(包括病态窦房结综合征、II度II型～III度房室传导阻滞)均采取经右颈内静脉穿刺行床边临时心脏起搏,其中29例作为治疗措施,21例为预防措施。结果行治疗性应用的29例中,20例患者安装临时心脏起搏器后顺利度过危险期,待病因治疗有效、缓慢性心律失常好转后撤除临时起搏;因急性大面积心肌梗死泵衰竭而死亡2例;接受了永久性人工心脏起搏器植入术7例。预防应用21例中,顺利地行房颤复律、血液透析及外科手术治疗19例;因病态窦房结综合征接受永久性人工心脏起搏器植入术2例。结论经右颈内静脉穿刺行床边临时心脏起搏器置入方法简便,成功率高,起搏电极稳定,在抢救缓慢性心律失常中,值得在有条件的医疗单位推广。
Objective To observe the efficacy of bedside temporary transvenous implantation of cardiac pacemaker via right internal jugular route.Methods The study included50patients with bradyarrhythmia in-cluding sick sinus syndrome ,degreeⅡatrioventricular block typeⅡ～degree III atrioventricular block.The temporary cardiac pacemakers were implanted at bedside through right internal jugular;which were for treat-ment in29patients and for prevention were in21.Results In treatment group,the temporary cardiac pace-maker was withdrawn in20patients after the bradyarrhythmia was successfully treated,a permanent cardiac pacemaker was implanted in7patients,and2patients with extensive myocardial infarction died of pump fail-ure.In prevention group,19patients received atrial defibrillation,hemodialysis or surgical procedure success-fully;and2patients received permanent cardiac pacemaker implantation for sick sinus syndrome.Conclusions Bedside temporary transvenous implantation of cardiac pacemaker via right internal jugular route is a simple and convenient procedure with a high successful rate,and the pacing leads are stable.It is worthy to be rec-ommended for appropriate conditions.
出处
《浙江医学》
CAS
2004年第4期264-265,278,共3页
Zhejiang Medical Journal
