普通电极紧急心脏起搏在急诊心律失常中的应用

Application of bedside temporary cardiac pacing with common electrode leads in emergency arrhythmia patients

目的探讨普通电极导管行紧急床边临时心脏起搏在急诊心律失常中的价值。方法应用普通电极导管对91例心律失常急症行紧急床边临时心脏起搏,其中严重窦性心动过缓46例,高度～Ⅲ度房室传导阻滞30例,心脏骤停11例,室速3例。结果起搏成功89例,占97.8%;窦性心动过缓者、房室传导阻滞、室速者全部成功,11例心跳骤停9例成功。结论普通电极紧急床边临时心脏起搏是治疗心律失常急症安全、有效的方法。

Aim To investigate the feasibility of applciation of bedside temporary cardiac pacing in emergency arrhythmia patients. Methods There 91 emergency arrhythmia patients received bedside temporary cardiac pacing using common electrode leads. 46 patients with severe sinus bradycardia,30 patients with grade Ⅲ atrioventricular block or high grade atrioventricular block, 11 patients with cardiac arrest,3 patients with ventricular tachycardia. Results Good pacing results was achieved in 89 patients （97.8%）including all patients with sinus bradyeardia,atrioventricular block and ventricular tachyeardia. 9 patients achieved good pacing in 11 cardiac arrest patients. Conclusion The bedside temporary cardiac Pacing with common electrode leads is a safe and effective rescue technique.