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作者采用双极起搏钢丝法,对10例不同疾病或创伤所引起的电-机械分离/低振幅缓慢型室颤/全心停顿患者,进行经胸壁心内膜起搏全部成功。其中1例复苏成功。8例出现大动脉搏动或测得血压。全组均无起搏并发症。作者认为该法起搏成功率较高,操作简便而且未发现明显副作用,有利于提高复苏成功率,值得推广应用。
The authors used bipolar pacing wire method, the 10 cases of different diseases or trauma caused by electro-mechanical separation / low amplitude slow ventricular fibrillation / cardiac arrest in patients with thoracic endocardial pacing were all successful. One case of successful recovery. 8 cases of aortic pulse or measured blood pressure. No pacing complications were found in the whole group. The authors believe that the method of pacing higher success rate, easy to operate and found no obvious side effects, help to improve the success rate of recovery, it is worth promoting the application.