[1]马明远,誉铁鸥,方滨,等.经左锁骨下静脉起搏脉冲引导紧急床边临时心脏起搏[J].南方医科大学学报,2005,(05):587-588.
 MA Ming-yuan,YU Tie-ou,FANG Bin,et al.Emergency bedside temporary cardiac pacing through the left subclavicular vein guided by pacemaker impulse[J].Journal of Southern Medical University,2005,(05):587-588.
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经左锁骨下静脉起搏脉冲引导紧急床边临时心脏起搏()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2005年05期
页码:
587-588
栏目:
出版日期:
2005-05-01

文章信息/Info

Title:
Emergency bedside temporary cardiac pacing through the left subclavicular vein guided by pacemaker impulse
作者:
马明远 誉铁鸥 方滨 温伟标 毛克江
广东佛山市第一人民医院ICU科, 广东, 佛山, 528000
Author(s):
MA Ming-yuan YU Tie-ou FANG Bin WEN Wei-biao MAO Ke-jiang
Intensive Care Unit, First People’s Hospital of Foshan, Foshan 528000, China
关键词:
起搏脉冲引导左锁骨下静脉临时心脏起搏
Keywords:
pacemaker impulse guidancesubclavicular veintemporary cardiac pacing
分类号:
R711.750.5
摘要:
目的 经左锁骨下静脉途径研究起搏脉冲引导行紧急床边临时心脏起搏技术的优越性及可行性.方法 以Seldinger法穿刺左锁骨下静脉置入鞘管.设置起搏器频率超过患者自主心率0次/min、输出电流为5 mA、感知电压为3mV,沿鞘管推送电极至心电监护显示脉冲信号及起搏心律.结果 18例患者获良好的起搏效果(操作时间5~10min,平均6.9 min).1例患者开始时起搏效果不良,约 h后好转;例患者起搏效果差;后3例操作时间均超0 min.1例患者术后均无并发症.结论 由起搏脉冲引导、经左锁骨下静脉行紧急床边临时心脏起搏起效迅速、成功率高且较安全.
Abstract:
Objective To investigate the feasibility and merits of emergency bedside temporary cardiac pacing through left subclavicular vein guided by pacemaker impulse.Methods The left subclavicular vein was punctured with Seldinger technique for insertion of a cannula. After setting the rate of pacemaker at 20 beat/min above the patients’ spontaneous heart rate with output current of 5 mA and sensing voltage of 3 mV, the electrode was inserted through the cannula until the electrocardiograph displaying pulsed signal and pacing rhythm.Results Good pacing was achieved in 18 patients with one having poor pacing, which was improved 2 h later. The pacing was not satisfactory in two cases. No postoperative complications occurred in the 21 patients.Conclusion Emergency bedside temporary cardiac pacing through the left subclavicular vein guided by pacemaker impulse is rapid and ensures high success rate and safety.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2004-10-25。
作者简介:马明远(1963- ),男,副主任医师,E-mail:mmyuan@fsyyy.com
更新日期/Last Update: 1900-01-01