摘要
目的评价透视与非透视下紧急心脏临时起搏的可行性和安全性,并比较其优劣势。方法分别在透视和非透视下,将普通双极心内膜临时起搏电极经锁骨下静脉或右侧颈内静脉途径置入右心室,对57例患者进行紧急心脏临时起搏。结果透视下26例患者起搏全部成功,非透视下31例患者27例起搏成功,4例失败,未发生并发症。两组比较差异无统计学意义,P>0.05。结论非透视下紧急心脏临时起搏有效、节时、安全,与透视下临时起搏相比疗效接近甚至在某些方面具有一定优势,可作为常规急救措施在临床工作中进行推广。
Objective To assess the feasibility and the reliability of emergency temporary cardiac pacing under fluoroscopy and nofluoroscopy, and compare to the superiority and inferiority between two groups. Methods Fifty-seven patients were temporarily paced under fluoroscopy and nofluoroscopy by the way which the common bi - pole temporary endocardium pacing electrode was introduced into the right ventricle by the bi - subclavian vein and right internal jugular. Result Twenty- six patients were successfully paced under fluoroscopy, and 27 patients of 31 were successfully paced without fluoroscopy, the other 4 patients were not paced successfully. Besides, there was no any complication in all patients. Conclusion Emergency temporary cardiac pacing without fluoroscopy is utility, saving time and safety, Compared to other method, the effect is proximity and even superior than the way under fluoroscopy. The way of the emergency temporary cardiac pacing without fluoroscopy is applied widespreadly in the work of clinical first aid.
出处
《中国医师进修杂志（内科版）》
2006年第4期21-22,共2页
Chinese Journal of Postgraduates of Medicine
关键词
透视下
非透视下
心脏临时起搏
Fluoroscopy
Nofluoroscopy
Temporary cardiac pacing
