临时起搏器应用安全性与有效性的研究

Clinical study on the safety and efficacy of temporary pacemaker placed beside the bed

目的临床上各种病因所致缓慢性心律失常如病态窦房结综合征、房室传导阻滞等伴明显血流动力学障碍及心肺复苏的抢救、外科手术时的保护等情况下需紧急安置临时起搏器以维持基本心率保持血流动力学稳定,本研究旨在讨论床旁心电监护下非X线植入临时起搏器的安全性及有效性。方法 10例三度AVB及8例病态窦房结综合征患者,在床旁通过穿刺右锁骨下静脉或右颈内静脉,通过观察起搏信号、QRS波群形态及测定阈值将普通电极导管送入右心室。结果 18例患者穿刺均获成功并成功起博心脏。结论经右锁骨下静脉或右颈内静脉穿刺床旁临时起搏术创伤小、方便快速、安全有效。

Objective To study the clinical various causes slow arrhythmia such as sick sinus syndrome and atrioventricular block, with obvious hemodynamic disorder and emergency cardiopulmonary resuscitation, protection and other surgery under emergency temporary pacemaker to maintain basic heart rate and hemodynamic stability. The purpose of this study is to discuss the bed excenter electric monitoring non-X-ray pacemaker placement, safety and effectiveness. Methods 10 cases of third degree AVB and 8 cases of patients with sick sinus syndrome, beside the bed through the right subclavian vein puncture or right internal jugular vein, through observing the pacing signal, QRS wave shape and determination of threshold will be ordinary The catheter was inserted into the right ventricle. Results18 patients were successfully punctured and successfully developed the heart. Conclusions It is a convenient, rapid,safe and effective way to puncture the right subclavian vein or right internal jugular vein.