临时心脏起搏器的应用体会

Application of provisional cardiac pacemaker

本文对51例因严重心律失常,出现血液动力学改变的患者安置临时心脏起搏器。其中内科疾病37例,在临时心脏起搏器保护下进行了有效的药物治疗和完成了永久起搏器的安置。因急性心肌梗塞和急性心肌炎而发生Ⅲ°A-VB的病人经治疗得到了恢复。对14例外科及妇科疾病因严重心动过缓的患者在临时起搏器保驾下安全的行使了手术,且获得了良好的效果。临时起搏器操作简单可迅速解除因严重心律失常所造成的血液动力学改变。

Provisional cardiac pacemaker were applied in 51 cases with hemodynamic changes due to serious cardiac arrhythmia,including 37 medical cases.Protected by the provisional pacemaker,effective medical treatments were carried out and permanent pacemaker were implanted.In cases with III AVB due to acute myocardial infarction or acute myocarditis,recovery was achieved.Protected by provisional pacemaker,14 surgical and gynaecological cases with serious bradycardia were operated on safely and with good results.Provisional pacemaker is easy to apply and able to remove hemodynamic changes caused by serious arrhythmia.