| 摘要: |
| 目的 探讨紧急床旁临时心脏起搏的路径。方法 收集我院2002年12月~2009年12月期间紧急床边临时起搏病例资料，研究了紧急床边起搏结果，分析不同起搏路径之特点。结果 27例患有严重缓慢性心律失常或心跳骤停的病人行床边右心室起搏32例次，其中右锁骨上静脉路径16例，均1次穿刺静脉成功，起搏所需时间最短；右股静脉和左锁骨下静脉路径分别为9和7例次，1次静脉穿刺成功率低，均有因起搏不稳定或穿刺部位感染更换到锁骨上静脉病例。结论 右侧锁骨上静脉路径起搏成功所需时间短，起搏稳定，应该是紧急床旁临时心脏起搏首选路径。 |
| 关键词: 人工心脏起搏 锁骨下静脉 路径 心律失常 |
| DOI：10.3724/SP.J.1008.2011.0804 |
| 投稿时间：2010-12-20修订日期：2011-03-08 |
| 基金项目: |
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| Beside emergency temporary cardiac pacing via right supraclavicular subclavian vein approach |
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| Abstract: |
| Route choice of beside emergency temporary cardiac pacing
Abstract: Objective To explore route choice of beside emergency temporary cardiac pacing. Method The documents of beside emergency temporary cardiac pacing are collected and analyzed during Dec 12,2002 to Dec 12, 2009. Result 28 patients underwent 32 times heart pacing. Pacing site is 16 times in right supraclavicular vein, 15 times in right femoral vein, and 11 times in left subclavicular vein. Compared with the other sites, there are shorter time consuming and higher success rates for establishing heart pacing in is shorter, and success rates right supraclavicular vein. Conclusion Right supraclavicular vein is an optimal pacing site for beside emergency temporary cardiac pacing. |
| Key words: Heart pacing Route choice Arhythmia |
