腔内心电图指导床旁紧急临时起搏(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2003年第4期
- 页码:
- 324-325
- 栏目:
- 临床研究
- 出版日期:
- 2003-07-01
文章信息/Info
- Title:
- Emergency temporary pacing guided by endocardial mapping
- Author(s):
- XIA Yun-feng; LIU Run-mei; ZHAI Hong-xia; YIN Ya-xin; LUO Bei-jie; HUANG Dang-shen
- Department of Geriatrics, 304th Hospital of PLA, Beijing 100037, China
- Keywords:
- endocardial mapping; cardial pacing; emergency treatment
- 分类号:
- R540.41
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的:了解腔内心电图指导床旁紧急临时起搏器安装的成功率。方法:根据不同部位腔内心电图形特点,指导床旁经静脉紧急临时起搏器安装23例。结果: 23例患者中3例失败,成功者为右房起搏1例,右室起搏19例,成功率为87%,术中出现室性早搏12例,术后出现电极脱位3例。结论:腔内心电图指导床旁紧急临时起搏成功率高,为抢救危重患者争取了时间。
- Abstract:
- AIM: To investigate the success rate of emergency bed side temporary pacing guided by endocardial mapping. METHODS: On the basis of the characteristics of right endocardial mapping at different sites, 23 patients with serious acute bradycardia were treated by emergency bedside temporary pacing. RESULTS: In the 23 patients, 1 case was treated with right atrial pacing;19 cases were with right ventricular pacing; 3 cases were unsuccessful and the success rate was 87%. Premature ventricular pacing occurred in 12 casesd uring the operations. Dislodgement of electrode occurred in 3 cases after the operations. CONCLUSION: The success rate of emergency temporary pacing guided by endocardial mapping was relatively high and this method is helpful to raise the success rate in saving patients with acute serious bradycardia.
参考文献/References
[1] 张树林, 李鲁光, 田军, 等. 床边气囊电极紧急心脏起搏成功抢救18例危重心律失常患者 [J] . 心脏起搏与心电生理杂志, 1995, 9(1):50.
[2] Byrd CL, Schwartz SJ, Hedin N, et al. Lead extraction: Indication and techniques [J] . Cardiol Clin, 1992, 10:735.
[3] Reggig G,Doenecrs P, Sen S, et al. Complications with retained transvenous pace maker electrodes [J] . Am Heart J, 1979, 98:587.
备注/Memo
- 备注/Memo:
- 收稿日期：2002-04-25.
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更新日期/Last Update: 2003-07-01