【摘要】 临时心脏起搏是防治 包括心脏停搏等多种继发或原发心脏病及心律失常的重要方法。本文200例患者接受临时心脏起搏,其中18例急性窦房结或房室结衰竭、36例急性下壁或伴右室急性心肌梗塞、12例药物所致严重窦性过缓、高度或Ⅲ房室传导阻滞及心脏停搏病人心脏起搏成功占83.33-100％;而其他36例晚期器质性心脏病、14例急性广泛性心肌梗塞临时心脏起搏成功占19.44-57.14％,说明临时心脏起搏对心脏窦房结及传导系统衰竭患者有明显效果,而对因心肌细胞器质性病变尤其是晚期病人效果差。另外为预防手术发生心脏意外,12例手术前行临时心脏起搏患者无一例发生心脏意外事件。同时经皮锁骨下静脉穿刺是安全且成功率极高的临时心脏起搏电极介入穿刺方法,可定为首选穿刺途径。更多还原

【Abstract】 Tempcrary cardiac pacemaking is an important method used to pre-vent or treat including sudden cardiac arrest On this article 200 patients were treated with acute sinoatrial node or atrioventricular node failure, 36 patients with acute lower wall or right ventricle myocardiac infarction and 12 pa-tients with medicine poisoning that producting severe sinoatrial bradvcardia or advanced atrioventricular block or sudden cardiac arrest were 83.33-100% successful in temporary pacemaking; and 36 patients with other advanced heart dsease and 14 patients with a-cute extensive anterior wall mvocardiac infarction were only 19.44-57.14% successful. The result displaied effection of temporary pacemaking in sinoatrial and cardiac conduct-ing system failure better than mvocardiac cell organic disease, especial serious damage. No one of 12 patients, who were treated with temporary pacemaking to prevent cardiac at operation, was salf and ease to success to put endocardial pacemaking electrode, then it was the initial method.更多还原