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目的:探讨床旁安装临时心脏起搏器救治严重的缓慢心律失常的意义。方法:回顾性分析1998年1月～2004年12月共对17例严重缓慢心律失常患者在床旁无X线影像的帮助下应用Seldinger穿刺法,植入临时心脏起搏电极到右室心尖部。穿刺部位选择右股静脉8例,左锁骨下静脉6例,右锁骨下静脉2例,右颈内静脉1例。安装好临时起搏器调试起搏。结果:17例均在5～15min内完成。起搏和感知功能良好。很快改善了缓慢性心律失常患者血流动力学障碍,同时为治疗患者心脏原发病争取了时间。结论:床旁临时心脏起搏治疗严重缓慢心律失常技术,操作方法简便,时间短,疗效安全可靠,便于急救应用。
Objective: To explore the clinical significance of temporary cardiac pacemakers installed at bedside for the treatment of severe arrhythmia. Methods: A retrospective analysis of 17 patients with severe bradyarrhythmia from January 1998 to December 2004 with no help of X-ray images at the bedside was performed. Seldinger puncture was used to implant the temporary cardiac pacing electrodes into the apex of the right ventricle . Puncture site selection of the right femoral vein in 8 cases, 6 cases of left subclavian vein, right subclavian vein in 2 cases, right internal jugular vein in 1 case. Install a temporary pacemaker to debug pacing. Results: 17 cases were completed in 5 ~ 15min. Pacing and sensing are good. It soon ameliorates hemodynamic disturbances in patients with bradyarrhythmia and gains time for the treatment of primary heart disease in patients. Conclusion: The bedside temporary cardiac pacing treatment of severe slow arrhythmia technology, simple operation method, time is short, the effect of safe and reliable, easy to emergency applications.