摘要
目的:总结经左锁骨下静脉插入导管床边紧急心脏临时起搏在急诊抢救中的应用。方法:12例阿-斯综合征、心脏骤停患者在急诊床边经锁骨下静脉插入带指引钢丝临时起搏导管,应用AXQ-3体外起搏器,边起搏边推送电极导管,紧急心脏起搏。结果:12例均起搏成功,达到有效起搏时间为3～9分钟,效果恒定、可靠。结论:该法起效快,疗效肯定,急诊应用,可缩短有效起搏时间,使更多危重者获救。
Objective: To conclude the clinic applying of bedside emergency temporary cardiac pacing via subclavian vein. Methods: 12 patients with Adams-strokes pacing. Webster catheter electrode was inserted general right ventricular using seldinger and general right heart catheter procedure. External pace-marker of AXQ-3type was used. Results: 12 cases were all succeeded. The rescuing time was 3 to 9 min, and effect was permanent and reliable. Conclusion: It was a effective and rapid method, and it would achieve more beneficial results.
出处
《岭南急诊医学杂志》
2002年第2期94-95,共2页
Lingnan Journal of Emergency Medicine
关键词
心脏起搏
锁骨下静脉
急诊抢救
cardiac pacing
subclavian vein
emergency management
