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近年,人工心脏起搏器的应用日趋广泛,对相当一部份严重的或药物难以控制的心动过缓型心律失常病人,具有十分肯定的疗效,随着安置起搏器的病人日益增多,起搏失效或起博并发症已引起临床广泛注意,这些改变,常可突然出现,预后严重,故Fcirman谓之“起博器急症”。对这种急症正确认识与及时处理,至关重要,已渐成为临床一个新课题。起搏器急症中,最为严重的是“起搏终止”和快速室性心律失常(VT.VF)。有关前者的临床及心电图改变,文献记载颇多,已广为临床所熟悉。近年来,随着医用电子学、生物医学工程学的发展,起搏器的质量提高,尤其是第三代起搏器的使用,大大提高了各种起
In recent years, the application of artificial pacemakers is becoming more and more extensive. It has a very positive effect on a considerable number of patients with severe or difficult-to-control bradycardia arrhythmias. With the increasing number of patients with pacemakers, The failure or pacing complications have caused widespread clinical attention, these changes can often occur suddenly, the prognosis is serious, so that Fcirman said the “pacemaker emergency.” Correct understanding and timely treatment of such emergency is of paramount importance and has gradually become a new issue in clinical practice. The most serious of the pacemaker emergency, “termination of pacing” and rapid ventricular arrhythmia (VT.VF). On the former clinical and ECG changes, a lot of literature, has been widely clinically familiar. In recent years, with the development of medical electronics and biomedical engineering, the quality of pacemakers has been improved, especially the use of the third-generation pacemakers, which has greatly improved the performance of various types of pacemakers