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目的：了解经静脉临时心脏起搏在抢救严重心律失常中的作用及经验。方法：因严重心律失常在我科接受经静脉临时心脏起搏者１８例，包括病窦综合征、高度或完全性房室传导阻滞、室速等，在床旁由右颈内静脉插入起搏电极（仅１例经右股静脉）。结果：对于缓慢性心律失常用ＶＶＩ（或ＡＡＩ）方式起搏，有室速者用ＶＯＯ方式起搏，起搏时间平均８．１±５．４（１～１８）ｄ，除１例急性心肌梗塞患者因心源性休克死亡外，均救治成功，无并发症或不良发应。结论：经静脉床旁临时心脏起搏简便、快速、可靠、可有效救治严重缓慢性心律失常或室速患者。
Objective: To understand the role and experience of transcatheter temporary cardiac pacing in the rescue of severe arrhythmia. Methods: 18 cases of severe cardiac arrhythmia underwent transvenous temporary cardiac pacing in our department, including sick sinus syndrome, high or complete atrioventricular block, ventricular tachycardia, etc., were inserted at the bedside by the right internal jugular vein Electrocardiogram (only 1 case via right femoral vein). Results: For VVI (or AAI) pacing in patients with bradyarrhythmia, ventricular tachycardia was induced by VOO. The average pacing time was 8.1 ± 5.4 (ranged from 1 to 18) days. Except for 1 case of acute myocardium Patients with infarction died of cardiogenic shock, were cured, no complications or adverse reactions. CONCLUSION: Temporary cardiac pacing over the venous bed is simple, rapid and reliable and can effectively treat patients with severe bradyarrhythmia or ventricular tachycardia.