摘要
在216例安装永久心脏起搏器的患者中,有20例合并频繁发作阿—斯综合征(占9.2%),其中有三度房室传导阻滞18例及窦性静止2例,均未使用临时起搏器,而直接安装永久起搏器,迅速建立有效的永久起搏。
Pacemakers of VVI pattern were implanted on 216 patients with heart disease from Feb. 1985 to April 1992 in our hospital. Of the 216 patients,20(9.2%)were complicated by Adams-Stokes syndrome. Permanent VVI pacemakers were implanted directly on the same day of frequent recurrence of Adams-Stokes attacks. Good results wer obtained in all cas- es. The main technical points included rapidly inserting catheter-electrode to right ventricle for transient pacing,intravenous infusion of lidocaine for preventing malignant ventricular ar- rhythmias, not restricting the positioning of the electrode in typical apical area in right ventri- cle but also localizing in inflow tract and in area near interventricular septum.
出处
《湖南医科大学学报》
CSCD
1994年第3期232-234,共3页
Bulletin of Hunan Medical University
关键词
心源性昏厥
人工心脏
心脏起搏器
pacemaker,artificial
cardiac pacing,artificial
Adams-Stokes syndrome
