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现将我院采用锁骨下静脉穿刺法植入起搏电极30例成功和失败的体会报告如下。对象和方法一、对象:30例均为1990年5月至1991年6月我院经锁骨下静脉穿刺(锁穿)植入起搏电极的患者,男18例,女12例。年龄6～69岁。其中Ⅱ°房室传导阻滞6例,Ⅲ°房室传等阻滞12例,病态窦房结综合征11例,预激综合征伴房室传导阻滞合并室性心动过速1例。30例中发生晕厥16例,17例在安置永久起搏器前经股静脉植入临时起搏电极。二、随机抽取30例采用头静脉切开法植入起搏电极的病人为对照组,与锁穿法植入电极病人进行手术时间的比较。三、方法:常规在 X 线下行穿刺点的定位,取锁骨下缘与第一肋骨外缘交点处为穿刺点。穿刺时,用小枕
Now in our hospital with subclavian vein puncture implantation pacing electrode 30 cases of success and failure of the report as follows. Subjects and methods First, the object: 30 cases were from May 1990 to June 1991 in our hospital through the subclavian vein puncture (locking) implantation of pacing electrodes in patients, 18 males and 12 females. Age 6 to 69 years old. Including Ⅱ ° atrioventricular block in 6 cases, Ⅲ ° atrioventricular block in 12 cases, sick sinus syndrome in 11 cases, WPG with atrioventricular block combined with ventricular tachycardia in 1 case. Syncope occurred in 30 cases, 16 cases, 17 cases of permanent pacemaker placed in the femoral vein implanted temporary pacing electrodes. Second, 30 patients were randomly selected as the control group by implanting the pacing electrode through the cephalic vein incision, and compared with the operation time when the locking electrode was implanted. Third, the method: Conventional X-ray puncture point positioning, take the lower edge of the clavicle and the first rib outer edge of the puncture point. Puncture, use a small pillow