摘要
目的基层医院采用Seldinger技术经右锁骨下静脉穿刺安装临时起搏器。方法应用Medtronic5318临时心脏起搏器,采用Seldinger技术法,在X线间断曝光实时监视下,经右锁骨内侧中下1/3处进入上腔静脉,然后置入J形导丝,将起搏导管通过右房室瓣送入右心室心尖部并接触心内膜安装临时心脏起搏器。结果 15例患者均顺利置入临时起搏导管,接临时起搏器起搏,术后心电监护。其中1例起搏效果差,其余14例起搏效果满意。本组无并发症发生。结论 X线间断曝光实时监视下右锁骨下静脉穿刺及导管植入安装临时心脏起搏,患者及操作者接受X线剂量少,此法直观、准确、安全,微创,成功率高,适合基层医院临时心脏起搏器的安装,值得基层医院临床推广。
Objective To utilize Seldinger technique via the right subclavian vein puncture install temporary pacemaker in primary hospital. Methods Applied Medtronic5318 temporary pacemaker,utilized Seldinger technique,entered the superior vena cava from the inside and lower 1/3 of the right clavicle under the X-ray intermittent exposure time monitoring, after that, placed J-shaped guide wire,the pacing catheter through the right atrioventricular valve into the right ventricular apex,and Installed temporary pacemaker when contacted with endocardial. Results 15 patients were all successfully placed temporary pacing catheter, temporary pacemaker pacing, postoperative ECG. 1 case of poor pacing, the other 14 cases of satisfactory pacing.There were no complications. Conclusion Under the X-ray intermittent exposure time monitoring,right subclavian vein puncture and catheterization installing temporary cardiac pacing, patients and operators accept less X-ray dose, this method is intuitive, accurate, safe, minimally invasive, high success rate,it＇s fit for primary hospital to install temporary pacemaker, worthy for primar host）ital clinical practice
出处
《中国医药科学》
2013年第18期167-168,共2页
China Medicine And Pharmacy
