摘要
本文报道先天性心脏病心内直视术后并发完全性房室传导阻滞14例的治疗及随访结果,13例术毕置右心室外膜临时起搏导线,其中11例启用临时起搏治疗1.7～60天;10例同时使用异丙基肾上腺素。9例术后1.7～30天(11.2±9.3天)恢复窦性节律,随防中(4月～6年)无1例复发完全性房室传导阻滞。5例未恢复窦性节律者中4例置埋藏式永久性起搏器,1例存活良好(2年);3例术后1年内死亡;另1例未置起搏器者3年后意外事故中死亡。术后暂时性及永久性完全性房室传导阻滞时心室率分别为68.4±17.7次/分及70.6±15.4次/分,QRS波宽为0.1±0.02秒及0.108±0.009秒,均无显著差异(P>0.05)。完全性房室传导阻滞时的心室率及QRS波宽度不能预示能否恢复窦性节律。
The outcome of 14 cases with complete atrioventricular block (AVB) after open heart operation for congenital heart disease is reported. Temporary epicardial pacemaker wire was placed intraoperatively in 13 patients and 11 of them had temporary pacing during postoperative period. Temporary pacing persisted for 1.7 to 60 days and 10 of the 11 patients needed soproterenol simultaneously. Nine patients recovered sinus rhythm within 1.7-30 (11.2±9.3) days after operation. There was no recurrence of AVB. Permanent pacemaker was planted in 4 patients and 3 of them died in the first year. There was no significant difference in ventricular rate(68.4±17.7 vs 70.6±15.4) and width of QRS complex (0.1±0.02 vs 0.108±0.009) during AVB between the persistent and temporary AVB groups. Therefore, neither the rate nor the width of QRS complex is a predictive factor of reversion to normal rhythm in early postoperative period.
出处
《上海医学》
CAS
CSCD
北大核心
1992年第1期24-26,共3页
Shanghai Medical Journal
