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永久性心脏起搏虽然已经历了30余年的历史,但在起搏的指征问题上,特别是关于起搏方式的选择上,尚有不同的意见。现将比较一致的心脏起搏指征及起搏器选择方面的意见分述如下。一、临时性心脏起搏的适应证起搏时间在4周内即可终止者称为临时性心脏起搏,临时性心脏起搏必须用双极心内膜电极,(心脏手术后可用心外膜心肌电极)及按需型体外起搏器。 (一)急性心肌梗塞后临时性起搏急性心肌梗塞后并发心脏传导障碍或心动过缓时,是否应用临时性起搏,尚有争议。有人提出,急性心肌梗塞的后果,决定于心肌坏
Although permanent cardiac pacing has experienced more than 30 years of history, but in the indication of pacing, especially on the choice of pacing mode, there are different opinions. Now more consistent cardiac pacing indications and pacemaker selection opinions are as follows. First, the indications for temporary cardiac pacing Pacemaker time within 4 weeks to terminate those known as temporary cardiac pacing, temporary cardiac pacing must use bipolar endocardial electrodes, (heart surgery after cardiac Membrane myocardial electrode) and on-demand pacemaker. (A) of the temporary pacing after acute myocardial infarction complicated by acute cardiac infarction or cardiac conduction heart bradycardia bradycardia, the use of temporary pacing is still controversial. It was suggested that the consequences of acute myocardial infarction, determined by myocardial damage