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近3年来,我们应用床旁紧急心内膜起搏抢救危及生命的心律失常20例,现报告如下。临床资料20例中男性11例,女性9例。年龄在49—80岁之间,平均年龄62.9岁.临床诊断;冠心病16例,心肌病1例.药物中毒1例,心肌炎1例,麻醉意外1例.心律失常分型;房室传导阻滞(Ⅱ～Ⅲ度)伴或不伴晕厥11例,心跳骤停5例,严重窦缓及病窦各2例.20例皆在床旁无X线透视条件下紧急经静脉心内膜起搏,其中8例经右侧大隐静脉切开安置心内膜导管电极,12例经右侧股静脉穿刺安置心内膜导管电极。所用心内膜导管电极为Hellige双极心内膜导管电极或上海产双极心内膜导管电极.起搏器为Hellige心脏监护
Nearly 3 years, we apply bedside emergency endocardial pacing rescue life-threatening arrhythmia in 20 cases, are as follows. Clinical data of 20 cases, 11 males and 9 females. The age of 49-80 years old, the average age of 62.9 years of age. Clinical diagnosis; coronary heart disease in 16 cases, 1 case of cardiomyopathy. Drug poisoning in 1 case, myocarditis in 1 case, anesthesia accident in 1. Arrhythmia typing; atrioventricular conduction resistance 11 cases of lag (Ⅱ ~ Ⅲ degree) with or without syncope, 5 cases of cardiac arrest, 2 cases of severe sinus laxity and sick sinus, and 20 cases underwent urgent venous endocardial erection without X-ray at the bedside In 8 cases, the endocardial catheter electrode was dissected through the right saphenous vein and the endocardial catheter electrode was placed in 12 cases through the right femoral vein. The endocardial catheter electrode used was a Hellige bipolar endocardial catheter electrode or a Shanghai-produced bipolar endocardial catheter electrode.The pacemaker was a Hellige cardiac monitor