临时心脏起搏器在非心脏围术期的应用

Usefulness of temporary pacemaker surrounding non-cardiac operation period

目的 :探讨临时人工心脏起搏器在伴心动过缓的非心脏外科患者围术期的安全性和重要性。方法 :4 8例外科住院的心动过缓患者均于手术当日在心导管室顺利置入临时人工心脏起搏器。结果 :在临时人工心脏起搏器的保护下 91.6 %的患者顺利完成麻醉及手术 ,4 3.1%的患者度过重症监护病房 (ICU)的早期。结论 :需行外科手术伴心动过缓尤其是老年患者 ,术前常规置入临时人工心脏起搏器 ,不仅可大大提高麻醉及手术过程中的安全性 ,减少围术期严重心律失常甚至猝死的发生 ,也可减轻患者痛苦和经济负担。

Objective:To evaluate the safety and importance of temporary artificial cardiac pacemaker during non-cardiac perioperative period.Methods:Forty-eight hospitalized surgery patients with bradycardia were implanted temporary cardiac pacemaker in cardiac catheter room.Results:91.6% patients were anesthesiaed and operated under the protection of artificial cardiac pacemaker.And 43.1% patients passed ICU early times.Conclusion:Old-aged patients with bradycardia who required surgical intervention were implanted routinely with temporary artificial cardiac pacemaker preoperatively.It was the temporary artificial cardiac pacemaker that not only enhanced the safety of anesthesia and operation,reduced occurrence of serious arrhythmia even sudden death surrounding operation period,also relieved distress and economic burden.