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近20年来,随着临床心脏电生理的研究进展,利用人工起搏治疗重症心律失常,已越来越多地受到临床重视。作者采用经胸壁临时起搏治疗2例致命性心律失常,取得良好效果。此法所需技术条件简单,操作方便,在紧急情况下,可于床边应用,起搏成功率高,且损伤小,基本无痛苦。特别在紧急情况下较经静脉心内膜临时起博更为实用,现介绍如下。例1 男性,23岁,因突然心悸一天,发作昏厥、抽搐一次入院。体查:意识朦胧,口唇紫绀,血压测不出,心率16次/min,律齐,无杂音。ECG示Ⅲ°
In the recent 20 years, with the progress of clinical cardiac electrophysiological studies, the use of artificial pacing in the treatment of severe arrhythmia has received more and more clinical attention. The author of transcatheter temporary pacing treatment of 2 fatal arrhythmias, and achieved good results. This method requires the technical conditions is simple, easy to operate, in an emergency, can be applied at the bedside, high success rate of pacing, and less damage, the basic no pain. Especially in emergency situations than intravenous epicardial temporary booster more practical, are presented below. Example 1 Male, 23 years old, due to a sudden heart palpitations, fainting, convulsions admitted to hospital. Physical examination: hazy consciousness, cyanosis of the lips, blood pressure can not be measured, the heart rate 16 times / min, law Qi, no noise. ECG showed Ⅲ °