无C臂指引行床旁漂浮电极临时起搏器安置术50例体会

50 case report of temporary pacemaker implantation using floating electrode beside hospital bed without C-arm X ray guidance

目的 探讨临床无C臂指引行临时起搏器安置手术的可行性.方法 我院近11年来对50例不同原因导致心动过缓、室速、顽固性阵发性室上速、心跳骤停的病例,在床旁无C臂指引的条件下紧急经锁骨下静脉或颈内静脉穿刺,成功置入漂浮电极至右室流出道间隔部或者右室心尖部完成临时起搏器安置手术.结果 成功完成50例患者的临时起搏器手术,抢救成活42例.结论 经锁骨下静脉或颈内静脉床旁无C臂指引行临时起搏器安置手术可行.

Objective To investigate the feasibility of temporary pacemaker implantation using floating electrode beside hospital bed without C-arm X ray guidance. Methods 50 cases patients with bradycardia, ventricular tachycardia, refractory paroxysmal supraventricular tachycardia, cardiac arrest, through subclavian vein or Jugular vein, using floating electrode beside hospital bed without C-arm X ray guidance. Finish temporary pacemaker implantation at septal fight ventricular outflow tract or right ventricular apex. Results 50 cases patients successful finished temporary pacemaker implantation, 42 patients were survival. Conclusion Temporary pacemaker implantation using floating electrode beside hospital bed without C-arm X ray guidance, through subclavian vein or Jugular vein is feasibility.