临时心脏起搏器治疗阿-斯综合征9例

Temporary Cardiac Pacemaker Therapy on 9 Children with Adam-Stoke Syndrome

目的探讨临时心脏起搏器治疗阿-斯综合征(ASS)的价值.方法 ASS患儿8例在X线透视下1例床边盲插起搏导管,安装临时心脏起搏器.结果 7例于ASS发作1～2 d安装,2例于ASS发作10 d和20 d安装.2例死亡,2例最终安装永久心脏起搏器;5例治愈.起搏过程中2例出现起搏电极移位,1例出现心脏杂音,1例出现局部皮肤感染.结论心脏临时起搏器抢救小儿ASS发作效果良好,且安装越早,预后越好.

Objective To explore the value of temporary cardiac pacemaker therapy on children with Adam-Stoke syndrome(ASS).Methods Nine children with ASS was implanted the emporary cardiac pacemaker under X-ray or blinding inserted beside bed.Results Seven children was successfully implanted the temporary cardiac pacemaker within 1-2 d of ASS attack,and two children was successfully implanted at 10 d and 20 d after ASS attack, respectively. Five patients was cured, two children was died, and two children was implanted the permanent cardiac pacemaker. During pacing, two patients had the electrode shifted,and one patient had the cardiac murmur,and one patient had the local skin infected.Conclusion Temporary cardiac pacemaker can successfully treat children with ASS attack;the earlier the implantation,the better the prognosis.