急诊心脏起搏治疗严重过缓性心律失常伴晕厥95例分析

The Analysis of Emergncy Cardiac Pacing in 95 Patients with Severel Bradyarrhythmias complicated Syncope

本文报道为９５例严重过缓性心律失常伴晕厥患者施行急诊心脏起搏、随诊、并发症及处理。根据病情急诊心脏起搏予以临时起搏，共２３例，永久起搏，共７２例，临时起搏方式有经静脉心内膜起搏１５例，无创经皮起搏８例。永久起搏除最常用的ＶＶＩ起搏（其中具有程控功能的起搏器４５例）外，另有ＡＡＩ及ＤＤＤ起搏器各２例，ＤＤＤＲ起搏器１例，此外，有２５例是应邀急诊出诊到兄弟医院去安置的。全部病例急诊起搏均获成功，晕厥及阿斯综合征得以控制，随诊结果示绝大多数病例延长了生命，改善了心功能，提高了生活质量，本文并讨论了不同起搏方式的特点及适应症。

This article reported The experience of emergency cardiac pacing,its follow-up results and complications in 95 patients with severe bradyarrhythmias complicated with syncope.The patients were classified into temporary pacing group(23 cases)and permanent pacing group(72 casas)according to their situations the temporary pacing group consisted of intravenous endocardial pacing in 15 cases and noninvasive pacing in 8 cases,and the modes of permanent pacing included AAI in 2 cases, DDD in 2 cases,and DDDR in 1 case as well as VVI with which 45 of them were multiprogrammable.Among them 25 patiens were emergency pacing treated by the authors in other hospitals.All patients were treated successfully with emergency cardiac pacing,and their symptoms such as syncope and Adams-Stokes syndrome were controlled completely. The results of follow-up showed that most of the patients survived with good cardiac function and good life quality.The features of pacing methods and their indications were discussed.