床旁临时心脏起搏抢救严重缓慢性心律失常36例分析

Temporary bedside cardiac pacemaking for sever bradycardiac arrhythmia 36 cases report

目的床旁临时心脏起搏在抢救严重缓慢性心律失常患者的应用价值。方法严重缓慢性心律失常患者36例,均经床旁左锁骨下静脉置入起搏电极,观察心电图图形,判断电极位置。结果36例患者均右心室起搏成功,从开始穿刺到起搏成功均≤15 min。所有病例于成功起搏后血流动力学明显改善,经原发病治疗后心律失常得到有效控制。结论床旁临时心脏起搏术在抢救严重缓慢性心律失常患者的疗效确切,是严重缓慢性心律失常或心脏骤停的重要抢救技术之一。

Objective To investigate the clinical application temporary bedside cardiac pacemaking for sever bradycardiac arrhythmia. Methods 36 cases of sever bradycardiac arrhythmia were all implanted with pacemaker electrode at bedside via left subclavian vein, then electrocardiogram and the position of the electrode were recorded. Results 36 cases all succeeded in pacemaking of right ventricle, with less than 15 minutes from the beginning of puncture to the success of pacemaking. The hemodynamic of all these patients were significantly improved after the pacemaking, and the arrhythmia have been controlled effeetively. Conclusion Temporary bedside cardiac pacemaking has evident positive effect on the emergent bradycardiac arrhythmia. It is one of important emergency treatment for sever bradycardiac arrhythmia or heart arrest.