心脏起搏是挽救严重缓慢性心律失常患者生命唯一有效的急救手段,尤其在基层医院急诊抢救中具有重要的价值。近年来随着介入医学的普及和提高,越来越多的临床医师可在x线指引下熟练地安置心脏临时起搏器。由于普通临时起搏电极若缺乏x线指导,床边操作不易准确到位,通常需在导管室或x线透视下放置起搏电极。而在实际临床工作中,相当多的患者因疾病危重或基层医院条件限制,只能选择床旁紧急心脏起搏~([1-2])。完全非x线条件下床旁漂浮电极心脏临时起搏技术目前在基层医院急救中普及率极低。本院自2010年开始率先在周边地区基层医院进行该项适宜技术转化应用与项目推广,现总结报道如下。1资料和方法 Cardiac pacing is the only effective first aid method for saving the lives of patients with severe bradyarrhythmia, especially in the emergency treatment of primary hospitals. In recent years, with the popularization and improvement of interventional medicine, more and more clinicians can skillfully place cardiac temporary pacemaker under the guidance of x-ray. Due to the lack of x-ray guidance for general temporary pacing electrodes, the bedside operation is not easy to accurately locate and usually requires pacing electrodes in the catheter room or x-ray. In the actual clinical work, a considerable number of patients due to critical illness or grass-roots hospital conditions, can only choose bedside emergency cardiac pacing ~ ([1-2]). Under the condition of completely non-x-ray, the temporary cardiac pacing technique of bedside floating electrodes is very low in the first aid of primary hospitals. Since 2010, our hospital has taken the lead in carrying out the suitable technology transformation application and project promotion in the grassroots hospitals in the surrounding areas. The report is summarized as follows. 1 data and methods