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经锁骨下静脉穿刺床旁临时起搏器快速安置术 被引量:5

Fast Implantation of temporary cardiac pacing in bedside via subclavian venipuncture
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摘要 目的探讨一种快速、安全、简便的临时起搏器安置方法。方法选取78例病人,在床旁通过锁骨下静脉穿刺的方法,将临时起搏电极在观察起搏信号与送入右心室,通过测定阈值及QRS波群的形态确定电极位置。结果78例病人穿刺均获得了成功,所用时间平均13.51±4.69min,留置时间平均为2.23±2.29d,起搏阈值平均为0.73±0.26V。结论锁骨下静脉穿刺床旁临时起搏术是一种安全,快捷的临时起搏器安置方法。 Objective To demonstrate that the temporary cardiac pacing via left subclavian approach is a fast, safe and convenient way. Methods Among 78 consecutive patients, right ventricular temporary cardiac pacing via subclavian venipuncture was done guided by pacing artifact and QRS morphology Results Temporay cardiac pacing were all successful. The mean procedure time was 13.51+4.69 minutes. The lead was kept in the right ventricle for an average of 2.23+2.29 days and the mean pacing threshold was 0.73+0.26 volt. Conclusions Temporary cardiac pacing in bedside via subclavian venipuncture is a fast, safe and convenient way.
出处 《临床心电学杂志》 2004年第4期271-272,共2页 Journal of Clinical Electrocardiology
关键词 锁骨下静脉 穿刺 临时起搏 Subclavian vein puncture temporary cardiac pacing
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参考文献2

  • 1Jacobs DM,Fink AS,Miller RP,et al.Anatomical and morphological evaluation of pacemaker lead compression. PACE 1993,16:373-377
  • 2Fake FE III.Simultanrous insulation deterioration associated with side-by-side subclavian placement of two polyurethane leads.PACE 1988,11:1971-1975

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